Organization · Type 2 NPI
William J. Mallon, MD
Non-Pharmacy Dispensing Site · Fort Pierce, FL
NPI number
1336906221
Active
Practice location
1707 S 25th St
Fort Pierce, FL 34947-4709
Mailing address
3500 US Highway 1
Vero Beach, FL 32960-4511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Another provider at this address
Other non-pharmacy dispensing site providers in Fort Pierce
About NPI 1336906221
William J. Mallon, MD's National Provider Identifier is 1336906221, issued on Mar 6, 2024. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Fort Pierce, FL. The record was last updated on Mar 6, 2024.