Organization
MALLORY'S MODERN MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY BEATY PHARMD, BCSCP (OWNER/COMPOUNDING PHARMACIST)
(662) 316-5021
Entity
Organization
Contact information
Practice address
141 W BANKHEAD ST, NEW ALBANY, MS 38652-3314
(662) 486-2150
Mailing address
141 W BANKHEAD ST, NEW ALBANY, MS 38652-3314
(662) 486-2150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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