Mallex Corporation
NPI #1023363025 in Jerseyville, Illinois
Provider Information
- NPI Number
- 1023363025
- Entity Type
- Organization
- Organization Name
- Mallex Corporation
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 17, 2012
- Last Updated
- Jul 5, 2016
Practice Location
- Address
- 400A W CARPENTER ST
- City
- Jerseyville
- State
- Illinois
- ZIP Code
- 62052-2522
- Phone
- (618) 498-6461
Authorized Official
- Name
- ETHAN VANDERSAND
- Title
- PRESIDENT
- Phone
- (618) 498-6461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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