Herzog, Melissa Ann
Herzog, Melissa Ann is an sole proprietor health care provider with primary practice located at 4215 Yellowstone Ave , Chubbuck ID 83202-2419. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Herzog, Melissa Ann can be contacted via phone (208) 237-6828.Contact Information
Primary practice address
4215 Yellowstone Ave
Chubbuck ID 83202-2419
Phone: (208) 237-6828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P4850 | Idaho |
Profile Details
| NPI number | 1396000121 |
|---|---|
| LBN Legal business name | Herzog, Melissa Ann |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2012 |
| Last updated | Jul 9th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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