Individual
LEO F. MALLARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
15 CHESAPEAKE BEACH RD, EAST, OWINGS, MD 20736
(301) 855-2357
Mailing address
4750 CAMP ROOSEVELT DR, CHESAPEAKE BEACH, MD 20732-3416
(301) 855-2357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07164
MD
Other
Enumeration date
05/27/2005
Last updated
07/08/2007
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