Individual
MR. JAMES B MELLADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 N BROADWAY, PERU, IN 46970-1027
(765) 473-5542
Mailing address
328 W 6TH ST, PERU, IN 46970-1941
(765) 472-4698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013027A
IN
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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