Individual
MR. MIKE THOMAS MALINOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12881 PERKINS RD, BATON ROUGE, LA 70810-1913
(225) 763-6281
Mailing address
15222 LOCKETT LN, BATON ROUGE, LA 70810-8381
(225) 588-9216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14135
LA
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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