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Individual

JARED WILLIAM MALOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2 MIRANOVA PL STE 500, COLUMBUS, OH 43215-7052
(614) 321-9743
(614) 647-0070
Mailing address
2 MIRANOVA PL STE 500, COLUMBUS, OH 43215-7052
(614) 321-9743

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03442402
OH
183500000X
Pharmacist
26031266A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0035080
OH
Enumeration date
08/14/2023
Last updated
08/06/2025
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