Individual provider · Type 1 NPI

Michael Stephen Mallouk, BS PHARMACY

Pharmacist · Fort Myers, FL

NPI number 1649517699 Active

Practice location

11600 Gladiolus Dr
Fort Myers, FL 33908-4567

Call (239) 437-3681 Map

Fax (239) 437-6133

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS17142 (FL)

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 1649517699

Michael Stephen Mallouk, BS PHARMACY's National Provider Identifier is 1649517699, issued on Jan 10, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Myers, FL. The record was last updated on Jan 10, 2013.