Individual
MELISSA ANN TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2182
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12087040
WI
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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