Individual
MRS. MELISSA ANN PLACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
60101 BODNAR BLVD, SUITE 200E, MISHAWAKA, IN 46544-9328
(574) 335-8525
(574) 335-0811
Mailing address
11365 HARBRIDGE CT, GRANGER, IN 46530-8149
(574) 247-9327
(574) 247-9327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019354A
IN
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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