Malakoff Prescription Shop, INC

NPI #1154374197 in Malakoff, Texas

Provider Information

NPI Number
1154374197
Entity Type
Organization
Organization Name
Malakoff Prescription Shop, INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 19, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
409 W ROYALL BLVD
Address 2
P.O. 1069
State
Texas
ZIP Code
75148-9499
Phone
(903) 489-1909

Authorized Official

Name
DR. LISA ANDERSON KOCIAN, PHARMD
Title
VICE-PRESIDENT
Phone
(903) 489-1909

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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