Individual
MR. MICHAEL JOSEPH MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
819 N 159TH CIR, OMAHA, NE 68118-2215
(402) 917-6771
(402) 917-6771
Mailing address
819 N 159TH CIR, OMAHA, NE 68118-2215
(402) 917-6771
(402) 917-6771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8922
NE
Other
Enumeration date
10/26/2009
Last updated
03/25/2015
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