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NPI Code Detail

MEDICARE: MELISSA YOUNG PHARMD

MEDICARE: MELISSA YOUNG PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist17986AL
2183500000XPharmacistPH235782MA
3183500000XPharmacist5302045512MI
4183500000XPharmacistT12725MS
5183500000XPharmacist14077NE
6183500000XPharmacist0202215390VA
7183500000XPharmacistRP0009473WV
8183500000XPharmacist26022198AIN

General Provider Information

NPI Number : 1316446131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA YOUNG PHARMD
Provider Business Mailing Address
First Line : 6330 E 75TH ST STE 322
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6330 E 75TH ST STE 322
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2708
Country : US
Telephone Number : 317-595-6270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2018
Last Update Date : 02/07/2018

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Directions to “ MELISSA YOUNG PHARMD” Practice Location

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