Individual
LEA MELISTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 WALTON BLVD, ROCHESTER HILLS, MI 48309-1264
(248) 375-2810
Mailing address
3010 WALTON BLVD, ROCHESTER HILLS, MI 48309-1264
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302415135
MI
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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