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NPI Code Detail

MEDICARE: MELISSA ROCHELLE GASMEN PHARMD

MEDICARE: MELISSA ROCHELLE GASMEN 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
1183500000XPharmacist26027962AIN

General Provider Information

NPI Number : 1770194318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ROCHELLE GASMEN PHARMD
Provider Business Mailing Address
First Line : 9030 US HIGHWAY 24 W
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-4752
Country : US
Telephone Number : 260-432-7413
Fax Number : 260-459-2938
Provider Business Practice Location Address
First Line : 9030 US HIGHWAY 24 W
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-4752
Country : US
Telephone Number : 260-432-7413
Fax Number : 260-459-2938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2020
Last Update Date : 08/16/2020

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Directions to “ MELISSA ROCHELLE GASMEN PHARMD” Practice Location

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