Individual
JOHN THOMAS MALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1355 N LEXINGTON SPRINGMILL RD, ONTARIO, OH 44906-1126
(419) 747-8300
Mailing address
8617 LARUE GREEN CAMP RD E, LA RUE, OH 43332-9287
(803) 530-5278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03135435
OH
183500000X
Pharmacist
13134
SC
Other
Enumeration date
09/16/2010
Last updated
08/11/2016
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