Individual
MELISSA GLAZA
Active
Individual
MELISSA GLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
5302029159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302029159
STATE OF MICHIGAN BOARD OF PHARMACY
MI
Enumeration date
06/02/2019
Last updated
06/02/2019
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