Individual
DR. MALLORY L ANDREASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 632-8173
Mailing address
1701 4TH AVE, CHARLESTON, WV 25387-2415
(304) 346-0829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
019374
KY
183500000X
Pharmacist
Primary
PS48006
FL
183500000X
Pharmacist
Primary
RP0007766
WV
Other
Enumeration date
09/16/2012
Last updated
04/24/2026
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