Individual
ANNESSA M MELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1735 VIRGINIA AVE, NORTH BEND, OR 97459-2346
(541) 751-7000
Mailing address
1735 VIRGINIA AVE, NORTH BEND, OR 97459-2346
(541) 751-7000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016089
OR
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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