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NPI Code Detail

MEDICARE: DR. MELISSA D MITCHELL PHARMD

MEDICARE:  DR. MELISSA D MITCHELL  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
1183500000XPharmacist051-291659IL

General Provider Information

NPI Number : 1891916706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA D MITCHELL PHARMD
Provider Business Mailing Address
First Line : 177 E ROOSEVELT RD
Second Line :
City : WEST CHICAGO
State : IL
Zip : 60185-3966
Country : US
Telephone Number : 630-293-5360
Fax Number :
Provider Business Practice Location Address
First Line : 177 E ROOSEVELT RD
Second Line :
City : WEST CHICAGO
State : IL
Zip : 60185-3966
Country : US
Telephone Number : 630-293-5360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 06/20/2019

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Directions to “ DR. MELISSA D MITCHELL PHARMD” Practice Location

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