Provider Demographics
NPI:1144693730
Name:CHROBOT, MELANIE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:CHROBOT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6490 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:CA
Mailing Address - Zip Code:94517-1153
Mailing Address - Country:US
Mailing Address - Phone:925-673-2803
Mailing Address - Fax:925-673-5530
Practice Address - Street 1:6490 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:CA
Practice Address - Zip Code:94517-1153
Practice Address - Country:US
Practice Address - Phone:925-673-2803
Practice Address - Fax:925-673-5530
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist