# DR. MELISSA KEETON MONTGOMERY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053547422
- **Gender:** F
- **Credential:** PHARM.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 10475 | MS | — |
| 183500000X | Pharmacist | 14899 | AL | — |
| 183500000X | Pharmacist | 33539 | TN | Yes |

## Other

- **Enumeration date:** 05/29/2009
- **Last updated:** 05/29/2009

## 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 |