MEDICARE: DR. DANA MALLUK PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PS61336	FL

General Provider Information

NPI Number	:	1639772338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA MALLUK PHARMD

Provider Business Mailing Address
First Line	:	5729 LA PUERTA DEL SOL BLVD S APT 178
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33715-1414
Country	:	US
Telephone Number	:	201-657-1957
Fax Number	:

Provider Business Practice Location Address
First Line	:	2708 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1837
Country	:	US
Telephone Number	:	813-932-6337
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2020
Last Update Date	:	11/17/2020

Similar Medicare Providers

1104920156 — HEALTHWISE PHARMACY
Practice Location Address:

2708 W WATERS AVE
TAMPA, FL
33614-1837

Practice Phone: 813-932-6337
Practice Fax: 813-932-7455

1437368016 — BEST CARE MEDICAL CENTER
Practice Location Address:

2702 W WATERS AVE
TAMPA, FL
33614-1837

Practice Phone: 813-935-7490
Practice Fax: 813-935-7490

1669682209 — JOSEFINA SOSA
Practice Location Address:

2702 W WATERS AVE
TAMPA, FL
33614-1837

Practice Phone: 813-935-7490
Practice Fax:

1689855538 — SANDRA GARCIA MA
Practice Location Address:

2702 W WATERS AVE
TAMPA, FL
33614-1837

Practice Phone: 813-935-7490
Practice Fax:

1568713857 — CHIKOS PEDIATRIC SERVICES
Practice Location Address:

2702 W WATERS AVE
TAMPA, FL
33614-1837

Practice Phone: 813-933-3350
Practice Fax: 813-933-3334

1932625167 — VIRAL PANKAJ SHAH PHARMD
Practice Location Address:

2708 W WATERS AVE
TAMPA, FL
33614-1837

Practice Phone: 813-932-6337
Practice Fax: 813-932-7455

Directions to “ DR. DANA MALLUK PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.