Individual
MISS MELISSA SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.PHT
Contact information
Practice address
817 VALLEY RIDGE CIR, PENSACOLA, FL 32514-1570
(850) 968-9992
Mailing address
817 VALLEY RIDGE CIR, PENSACOLA, FL 32514-1570
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
04010022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04010022
CERT.PHARMACY TECH
—
Enumeration date
03/14/2007
Last updated
07/08/2007
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