Individual
DR. CHANTTEL T MELQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3800 LEXINGTON AVE N, T-0619, SHOREVIEW, MN 55126-2916
(651) 486-3883
Mailing address
3800 LEXINGTON AVE N, T-0619, SHOREVIEW, MN 55126-2916
(651) 486-3883
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120988
MN
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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