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Individual

MS. DONNA MARIE MELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMACIST MANAGER

Contact information

Practice address
1340 N WENATCHEE AVE, WENATCHEE, WA 98801-1558
(509) 664-5111
Mailing address
1340 N WENATCHEE AVE, WENATCHEE, WA 98801-1558
(509) 664-5111

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00041310
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH00041310
WA BOARD OF HEALTH
WA
Enumeration date
08/15/2012
Last updated
11/02/2016
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