Individual
DR. MOHAMMAD AHMED ABU MALLOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
384 SE COMBS FLAT RD, PRINEVILLE, OR 97754-2562
(541) 447-8423
(541) 447-8724
Mailing address
2324 NW ELM AVE, REDMOND, OR 97756-7097
(541) 447-8423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018957
OR
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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