Individual
MELISSA NICOLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.DL
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 999-1880
(218) 999-1881
Mailing address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 999-1880
(218) 999-1881
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117934
MN
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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