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Individual

AMOS MALONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
2060 N CHURCH AVE, HARRAH, OK 73045-0247
(405) 454-2477
(405) 454-3507
Mailing address
2430 CHOCTAW DR, CHOCTAW, OK 73020-6565
(405) 454-2476
(405) 454-3507

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
OK 8116
OK
1835N1003X
Nutrition Support Pharmacist
Primary
3739
OK

Other

Enumeration date
08/19/2006
Last updated
09/11/2025
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