Individual
MELISSA ANNE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1351 N IRONWOOD DR, SOUTH BEND, IN 46615-3566
(574) 234-5046
Mailing address
1351 N IRONWOOD DR, SOUTH BEND, IN 46615-3566
(574) 234-5046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018851A
IN
183500000X
Pharmacist
5302036658
MI
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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