Individual
MELISSA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1904 CARL ALBERT BLVD, ADA, OK 74820-3493
(580) 421-4569
Mailing address
3321 MOUNT MITCHELL LN, NORMAN, OK 73069-3111
(806) 683-4617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15260
OK
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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