Individual
STEPHANIE MELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8421 LYNDALE AVE S, BLOOMINGTON, MN 55420-4580
(952) 881-4299
Mailing address
10948 YUKON AVE S, BLOOMINGTON, MN 55438-2292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124626
MN
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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