Individual
ELISA MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2769 PAPERMILL RD, WYOMISSING, PA 19610-3329
(610) 374-9942
Mailing address
2769 PAPERMILL RD, WYOMISSING, PA 19610-3329
(610) 374-9942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP445222
PA
Other
Enumeration date
04/21/2015
Last updated
12/05/2020
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