Provider Demographics
NPI:1700089679
Name:PIKE-DICKEY, MELANIE JULIETTE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:JULIETTE
Last Name:PIKE-DICKEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:MELANIE
Other - Middle Name:JULIETTE
Other - Last Name:DICKEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5758 NEWFIELDS LN
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-8797
Mailing Address - Country:US
Mailing Address - Phone:510-784-4463
Mailing Address - Fax:
Practice Address - Street 1:27400 HESPERIAN BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4235
Practice Address - Country:US
Practice Address - Phone:510-784-4463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist