Individual
DR. MELISSA ADRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
1300 W BURLINGTON AVE, FAIRFIELD, IA 52556-2766
(319) 653-1763
Mailing address
PO BOX 183, RICHLAND, IA 52585-0183
(319) 653-1763
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19858
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19858
PHARMACIST LICENSE NUMBER
IA
Enumeration date
04/03/2020
Last updated
04/03/2020
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