Individual
MELISSA DUYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 W 6TH ST, THE DALLES, OR 97058-3515
(541) 296-1748
Mailing address
1312 E 16TH ST, THE DALLES, OR 97058-3263
(503) 710-7656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014923
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0014923
OR
Other
Enumeration date
10/08/2015
Last updated
04/22/2017
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