Individual
ALLAN T. MAILLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., PHARM.D.
Contact information
Practice address
10 E DOTY ST STE 210, MADISON, WI 53703-3354
(608) 283-3689
Mailing address
987 S MAIN ST, OREGON, WI 53575-3245
(608) 225-8868
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12206
WI
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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