Individual
EVAN KEITH MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
4115 W AERIE DR APT 37, TUCSON, AZ 85741-2415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022740
AZ
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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