NPI 1902247869

Dax Owen Melugin

Practitioner Pharmacist Caruthersville, MO

Practice location

Address: 410 Ward Ave, Caruthersville, MO 63830-1451
Phone: (573) 333-4890
Fax: (573) 333-0306

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2009035365 (MO)

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Registry record

NPI: 1902247869
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2013
Record last updated: 8 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.