Individual
MELISSA GOLDSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 CENTRAL AVENUE, LAKE STATION, IN 46405
(219) 963-7355
Mailing address
9283 HAYES ST, BLDG 14 APT 105, MERRILLVILLE, IN 46410-6762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023358A
IN
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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