Individual
MELISSA MEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4308 E GRAND AVE, LARAMIE, WY 82070-5508
(307) 745-6112
Mailing address
769 N 9TH ST, LARAMIE, WY 82072-2730
(307) 760-0865
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3744
WY
Other
Enumeration date
06/20/2014
Last updated
08/22/2016
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