Individual
AMY L MALMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
600 LINCOLN AVE, 1102 HUMAN SERVICES, CHARLESTON, IL 61920-3011
(217) 581-7779
(217) 581-7780
Mailing address
4402 COUNTRY LAKE DR, CHARLESTON, IL 61920-7637
(217) 348-7047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051033882
IL
Other
Enumeration date
07/25/2006
Last updated
02/20/2017
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