Individual
DR. QUINTON MALLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
4500 W 107TH ST, OVERLAND PARK, KS 66207-4025
(866) 930-4146
(866) 930-4147
Mailing address
4500 W 107TH ST, OVERLAND PARK, KS 66207-4025
(866) 930-4146
(866) 930-4147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-106088
KS
183500000X
Pharmacist
Primary
2018029993
MO
183500000X
Pharmacist
PHA.0019903
CO
Other
Enumeration date
06/29/2011
Last updated
01/06/2026
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