Individual
MELISSA E BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
6030 CENTRAL AVE, PORTAGE, IN 46368-3501
(219) 762-8030
Mailing address
6030 CENTRAL AVE, PORTAGE, IN 46368-3501
(219) 548-3032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018291A
IN
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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