Individual provider · Type 1 NPI

Mallory Bliss Kimble

Pharmacist · Phoenix, AZ

NPI number 1134730237 Active

Practice location

4040 N 19th Ave
Phoenix, AZ 85015-5303

Mailing address

3933 E Camelback Rd
Phoenix, AZ 85018-2609

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XS024800 (AZ)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1134730237

Mallory Bliss Kimble's National Provider Identifier is 1134730237, issued on Aug 12, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Phoenix, AZ. The record was last updated on May 25, 2021.