Individual
DR. MELISSA MAIXNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
1550 S NEW FLORISSANT RD, FLORISSANT, MO 63031-8123
(314) 830-3282
(314) 830-3495
Mailing address
1550 S NEW FLORISSANT RD, FLORISSANT, MO 63031-8123
(314) 830-3282
(314) 830-3495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019025939
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019025935
PHARMACIST LICENSE
MO
Enumeration date
03/04/2021
Last updated
03/04/2021
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