Individual
DR. MELISSA LORRAINE MABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
951 HIGHWAY 126, BRISTOL, TN 37620-3353
(423) 844-6840
Mailing address
326 AMBROSIA DR, KINGSPORT, TN 37664-5764
(423) 349-7201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202012872
VA
183500000X
Pharmacist
Primary
12253
TN
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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