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NPI Code Detail

MEDICARE: MELISSA MUSKOPF PHARMD

MEDICARE: MELISSA MUSKOPF 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
1183500000XPharmacist0202214103VA

General Provider Information

NPI Number : 1871977785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MUSKOPF PHARMD
Provider Business Mailing Address
First Line : 4841 WILLIAMSON RD NW
Second Line :
City : ROANOKE
State : VA
Zip : 24012-2331
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4841 WILLIAMSON RD NW
Second Line :
City : ROANOKE
State : VA
Zip : 24012-2331
Country : US
Telephone Number : 540-265-8922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2015
Last Update Date : 07/10/2015

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Directions to “ MELISSA MUSKOPF PHARMD” Practice Location

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