Individual
MELISSA KAYE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
201 SE SALEM ST, OAK GROVE, MO 64075-9284
(816) 690-7606
Mailing address
201 SE SALEM ST, OAK GROVE, MO 64075-9284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004034220
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004034220
MISSOURI STATE LICENSE NUMBER
MO
Enumeration date
09/18/2018
Last updated
09/18/2018
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