Mallory Fay

NPI #1558644807 in Lorain, Ohio

Provider Information

NPI Number: 1558644807
Entity Type: Individual
Name: Mallory Fay
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 23, 2011
Last Updated: Sep 23, 2011

Practice Location

Address: 5411 LEAVITT RD
City: Lorain
State: Ohio
ZIP Code: 44053-2155
Phone: (440) 960-7225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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