IndividualActive
Melissa Sample
NPI 1255932844 · Pharmacist · Eldon, MO
Provider details
- NPI number
- 1255932844
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2016024474 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1802 S Business 54
Eldon, MO 65026-1786
Phone: (573) 392-1863
Approximate (ZIP-level) locationGet directions
Mailing address
1802 S Business 54
Eldon, MO 65026-1786
Registry dates
- Enumerated
- 2020-11-02
- Last updated
- 2020-11-02
- Certified
- 2020-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.