Individual
MELISSA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3487 N STOCKTON HILL RD, KINGMAN, AZ 86409-3681
(928) 692-1822
Mailing address
211 W CENTER ST, IVINS, UT 84738-6205
(435) 229-9912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10886027-1701
UT
183500000X
Pharmacist
23066
NV
183500000X
Pharmacist
S026192
AZ
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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