Individual
MELISSA BLENKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15846 MANCHESTER RD, ELLISVILLE, MO 63011-2208
(636) 527-6074
Mailing address
PO BOX 26870715, T-1525, SILVERTHORNE, CO 80498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051304637
IL
183500000X
Pharmacist
Primary
18794
CO
183500000X
Pharmacist
2022010902
MO
183500000X
Pharmacist
4223
WY
Other
Enumeration date
12/20/2011
Last updated
05/23/2023
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