Individual
NICHOLE KARISTA MELODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 232-0280
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 232-0280
(630) 933-3626
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
051294329
IL
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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