Dr. Jonathan Ray Mallette, Pharm.D.
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Jackson, TN. Individual provider (NPI-1).
NPI number1376889899
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1376889899
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan Ray Mallette
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2013
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 33809 | TN | Yes |
Practice location
941 N ParkwayJackson, TN 38305-4504
Phone 731-423-4904 · Fax 731-423-4914
Mailing address
941 N ParkwayJackson, TN 38305-4504
Phone 731-423-4904 · Fax 731-423-4914
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