Individual
DAX OWEN MELUGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 WARD AVE, CARUTHERSVILLE, MO 63830-1451
(573) 333-4890
(573) 333-0306
Mailing address
410 WARD AVE, CARUTHERSVILLE, MO 63830-1451
(573) 333-4890
(573) 333-0306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2009035365
MO
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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