Individual
MELISSA ANN ERNZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1920 ELM ST, DUBUQUE, IA 52001-3641
(563) 583-7379
(563) 583-8846
Mailing address
302 COUNTRYSIDE DR, EPWORTH, IA 52045-9523
(563) 876-5599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19191
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005058
—
IA
Enumeration date
10/13/2006
Last updated
07/09/2007
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