Individual
DR. GLEN MICHAEL MELICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
255 PHILLIPI RD, COLUMBUS, OH 43228-1307
(614) 278-5563
Mailing address
6145 WATKINS RD SW, PATASKALA, OH 43062-8452
(740) 927-3136
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
03311829
OH
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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