Leo F. Mallard in Chesapeake Beach - Pharmacist

Leo F. Mallard - NPI 1164425658

Leo F. Mallard is a Pharmacist in Chesapeake Beach, Maryland. Leo F. Mallard practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Leo F. Mallard is 1164425658. The last update date is 2007-07-08.

Leo F. Mallard's current location address is 4750 Camp Roosevelt Dr, Chesapeake Beach, Maryland. You can contact this provider via phone number 3018552357. The mailing address for Leo F. Mallard is 4750 Camp Roosevelt Dr, Chesapeake Beach, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Leo F. Mallard
Address 4750 Camp Roosevelt Dr, Chesapeake Beach, Maryland
Phone Number 3018552357
Fax Number
Sole Proprietor X
Credentials RPH

NPI Number Detail

NPI Number 1164425658
Provider Enumeration Date 2005-05-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4750 Camp Roosevelt Dr
City Chesapeake Beach
State Maryland (MD)
Post Code 2073234160
Phone Number 3018552357
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 7164
Definition:
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 m

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FAQs about Leo F. Mallard

What is the unique 10-digit identification code assigned to Leo F. Mallard by the Centers for Medicare & Medicaid Services?

The Leo F. Mallard has been issued the NPI (National Provider Identifier) 1164425658, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Leo F. Mallard is located?

The Leo F. Mallard is situated at the following address: 4750 Camp Roosevelt Dr, Chesapeake Beach, MD, 2073234160.

What is Leo F. Mallard's specialized field of practice, and what is the corresponding taxonomy classification code?

The Leo F. Mallard's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.

On what date was the 1164425658 assigned to Leo F. Mallard?

The Leo F. Mallard was issued its 1164425658 on 2005-05-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Leo F. Mallard, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Leo F. Mallard, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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