Individual
MELISSA MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2144
Mailing address
9600 VETERANS DR SW, TACOMA, WA 98493-0001
(253) 582-8440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026089
GA
Other
Enumeration date
08/04/2011
Last updated
03/07/2014
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