Individual
MALLORY ANNE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2150 E NATIONAL AVE, BRAZIL, IN 47834-2831
(812) 443-0466
Mailing address
4133 LAKEWOOD TRL, CLAYTON, IN 46118-9373
(812) 229-3124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022794A
IN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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