MEDICARE: MELISSA JUHNKE

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
1	183500000X	Pharmacist	1-14501	KS

General Provider Information

NPI Number	:	1336559178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA JUHNKE

Provider Business Mailing Address
First Line	:	821 SW 6TH AVE
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66603-3130
Country	:	US
Telephone Number	:	785-232-6975
Fax Number	:

Provider Business Practice Location Address
First Line	:	821 SW 6TH AVE
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66603-3130
Country	:	US
Telephone Number	:	785-232-6975
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2014
Last Update Date	:	08/17/2016

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Directions to “ MELISSA JUHNKE ” Practice Location

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