Individual provider · Type 1 NPI
Amos Malone, DPH
Nutrition Support Pharmacist · Harrah, OK
NPI number
1659485118
Active
Practice location
2060 N Church Ave
Harrah, OK 73045-0247
Fax (405) 454-3507
Mailing address
2430 Choctaw Dr
Choctaw, OK 73020-6565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | OK 8116 (OK) |
| Nutrition Support Pharmacist Primary | 1835N1003X | 3739 (OK) |
Nutrition Support Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
2 other providers at this address
About NPI 1659485118
Amos Malone, DPH's National Provider Identifier is 1659485118, issued on Aug 19, 2006. The primary taxonomy on file is Nutrition Support Pharmacist (1835N1003X), and the practice location is in Harrah, OK. The record was last updated on Sep 11, 2025.