Individual
MORGAN LEE MALLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
204 US-80 E, CLINTON, MS 39056
(601) 926-1179
Mailing address
306 AFTON DR, BRANDON, MS 39042-3651
(601) 513-5202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E100440
MS
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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