Lisa J Mallott, R.PH.
NPI #1982820528 in Shelton, Washington
Provider Information
- NPI Number
- 1982820528
- Entity Type
- Individual
- Name
- Lisa J Mallott, R.PH.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- R.PH.
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 207 PROFESSIONAL WAY
- City
- Shelton
- State
- Washington
- ZIP Code
- 98584-4404
- Phone
- (360) 426-4626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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