Individual
TINA K MELONAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH PHARMD
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-5290
(734) 240-5291
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-5290
(734) 240-5291
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
5302024423
MI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302024423
MI
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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