Individual
MELISSA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1626 E PERRY ST, PORT CLINTON, OH 43452-1332
(419) 734-5583
(419) 734-0853
Mailing address
1108 COLUMBIA AVE, PORT CLINTON, OH 43452-2208
(419) 341-8128
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
300101041154016
OH
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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