Individual
MR. MARK R MALOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1010 COMMON ST, SUITE A1460, NEW ORLEANS, LA 70112-2401
(504) 568-7097
(504) 568-8306
Mailing address
2716 DAUPHINE ST, NEW ORLEANS, LA 70117-7322
(504) 944-1114
(504) 944-1114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13787
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13787
PHARMACIST LICENSE
LA
Enumeration date
01/27/2006
Last updated
08/05/2009
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