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Individual
MS. MELISSA ANNE MINIX
Active
Individual
MS. MELISSA ANNE MINIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13540
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13540
STATE LICENSE NUMBER
GA
Enumeration date
10/23/2006
Last updated
07/08/2007
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