Individual
MELISSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4568 N HARRIMAN DR, BLOOMINGTON, IN 47404-8862
(812) 345-0350
Mailing address
4568 N HARRIMAN DR, BLOOMINGTON, IN 47404-8862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023585A
IN
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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