Ryan Mallory
Pharmacist in Hurst, TX. Individual provider (NPI-1).
NPI number1407143753
StatusActive
Last updated in NPPESJul 7, 2011
Details
- NPI
- 1407143753
- Entity type
- Individual (NPI-1)
- Name
- Ryan Mallory
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2011
- Last updated
- Jul 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 45180 | TX | Yes |
Practice location
1400 Precinct Line RdT-1766
Hurst, TX 76053-3828
Phone 817-282-8917
Mailing address
1400 Precinct Line RdT-1766
Hurst, TX 76053-3828
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All 26 Pharmacist providers in Hurst · All 1,070 providers in Hurst
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