Individual
LISA ANN MELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 S BROADWAY, SALEM, NH 03079-4306
(978) 914-0833
Mailing address
512 S BROADWAY, SALEM, NH 03079-4306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY04374
NH
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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