Individual
MELONIE MAITLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 VETERANS DR, PHARMACY DEPT., MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
3419 FORDHAM CT NE, MINNEAPOLIS, MN 55421-4350
(612) 617-1002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117842
MN
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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