Individual
JOSHUA HARLIN MALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
4300 THOMAS STREET, POPULATION HEALTH CLINIC, FT. SILL, OK 73503
(580) 458-2443
Mailing address
111 STARDUST CIR, WALTERS, OK 73572-6701
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
13433
OK
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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