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Individual
DR. MELISSA KEETON MONTGOMERY
Active
Individual
DR. MELISSA KEETON MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10475
MS
183500000X
Pharmacist
14899
AL
183500000X
Pharmacist
Primary
33539
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10475
BOARD OF PHARMACY
MS
01
—
14899
BOARD OF PHARMACY
AL
01
—
33539
BOARD OF PHARMACY
TN
Enumeration date
05/29/2009
Last updated
05/29/2009
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