Individual
MICHAEL CARLTON MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5315 HENNEMAN DR, NORFOLK, VA 23513-2401
(757) 852-5125
(757) 853-6602
Mailing address
5315 HENNEMAN DRIVE, NORFOLK, VA 23513
(757) 852-5125
(757) 853-6602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011641
VA
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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