Individual
MELLISA DIANE MOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
651 E MAIN ST, DANVILLE, IN 46122-1939
(317) 745-5828
(317) 745-4671
Mailing address
651 E MAIN ST, DANVILLE, IN 46122-1939
(317) 745-5828
(317) 745-4671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017566A
IN
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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