Otis Len Malone III, PHARMD
NPI #1235740903 in Greenwood, Mississippi
Provider Information
- NPI Number
- 1235740903
- Entity Type
- Individual
- Name
- Otis Len Malone III, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Aug 14, 2020
- Last Updated
- Aug 14, 2020
Practice Location
- Address
- 700 W PARK AVE
- City
- Greenwood
- State
- Mississippi
- ZIP Code
- 38930-2910
- Phone
- (662) 451-1121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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