Individual
MELISSA BETH MCLALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 CAMPOSTELLA RD, CHESAPEAKE, VA 23324-3073
(757) 545-1002
Mailing address
2212 CAMPOSTELLA RD, CHESAPEAKE, VA 23324-3073
(757) 545-1002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011090
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952735912
RPH
—
05
—
1952735912
—
VA
Enumeration date
11/28/2020
Last updated
11/28/2020
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