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NPI Code Detail

MEDICARE: JOSEPH MALOY PHARMD

MEDICARE:   JOSEPH  MALOY  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
11835P2201XAmbulatory Care PharmacistS024322AZ

General Provider Information

NPI Number : 1659901544
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH MALOY PHARMD
Provider Business Mailing Address
First Line : 15419 W REDFIELD RD
Second Line :
City : SURPRISE
State : AZ
Zip : 85379-8016
Country : US
Telephone Number : 623-986-8894
Fax Number :
Provider Business Practice Location Address
First Line : 4212 N 16TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-5319
Country : US
Telephone Number : 602-263-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2020
Last Update Date : 01/20/2020

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