Individual
MR. NORMAN MALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2607 W LAKE ISLE DR, MEQUON, WI 53092-2451
(262) 242-1428
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7823-40
WI
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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