Individual
MELISSA ANN SAMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 TRIANGLE STREET, MARTIN, KY 41649-1296
(606) 285-0786
(606) 285-0646
Mailing address
90 TRIANGLE STREET, PO BOX 1296, MARTIN, KY 41649-1296
(606) 285-0786
(606) 285-0646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9820
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9820
PHARMACIST LICENSE
KY
Enumeration date
01/31/2007
Last updated
07/08/2007
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