Individual
MELISSA ANN ROOSE RAASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
1831 LAKE AVE, STORM LAKE, IA 50588-7606
(712) 732-7960
Mailing address
1817 290TH ST, ODEBOLT, IA 51458-7475
(712) 210-0532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19057
IA
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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