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Individual

DR. MELISSA MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4701 W 6TH ST, LAWRENCE, KS 66049-4825
(785) 838-0110
Mailing address
4701 W 6TH ST, LAWRENCE, KS 66049-4825
(785) 838-0110

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13069
KS

Other

Enumeration date
07/15/2014
Last updated
07/15/2014
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