Individual
MELINDA RUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7920 DESIARD ST, MONROE, LA 71203-4936
(318) 343-1284
Mailing address
7920 DESIARD ST, MONROE, LA 71203-4936
(318) 343-1284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.294415
IL
183500000X
Pharmacist
2010031681
MO
183500000X
Pharmacist
Primary
PST.019383
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA.000573
MEDICATION ADMINISTRATION
LA
Enumeration date
09/28/2011
Last updated
07/05/2015
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