Mallory Sansom, PHARMD

NPI #1356173645 in Ainsworth, Nebraska

Provider Information

NPI Number: 1356173645
Entity Type: Individual
Name: Mallory Sansom, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 15, 2024
Last Updated: Aug 15, 2024

Practice Location

Address: 255 N MAIN ST
City: Ainsworth
State: Nebraska
ZIP Code: 69210-1300
Phone: (402) 387-1403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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Organizations

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