MEDICARE: DR. AMY ELIZABETH MALLON PHARM.D

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	183500000X	Pharmacist	RPH019636	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	013106	OTHER	KY	STATE LICENSE NUMBER
2	0000025437	OTHER	TN	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1932101698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY ELIZABETH MALLON PHARM.D

Provider Business Mailing Address
First Line	:	120 DEER RUN DR
Second Line	:
City	:	DRESDEN
State	:	TN
Zip	:	38225-1837
Country	:	US
Telephone Number	:	173-136-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 DEER RUN DR
Second Line	:
City	:	DRESDEN
State	:	TN
Zip	:	38225-1837
Country	:	US
Telephone Number	:	731-364-5008
Fax Number	:

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	03/23/2010

Similar Medicare Providers

1003800616 — PHYLLIS ANN TAYLOR APNC
Practice Location Address:

8598 HIGHWAY 22
DRESDEN, TN
38225-2308

Practice Phone: 731-364-5675
Practice Fax: 731-364-2870

1720075633 — ELIZABETH A RIDDLE CFNP
Practice Location Address:

136 S WILSON ST
DRESDEN, TN
38225-1133

Practice Phone: 731-352-7907
Practice Fax: 731-364-4900

1184611923 — DR. JACK J 'BUDDY' GLISSON M.D.
Practice Location Address:

130 E LOCUST ST
DRESDEN, TN
38225-1467

Practice Phone: 731-364-3196
Practice Fax: 731-364-5359

1255328035 — DRESDEN MEDICAL ASSOCIATES, P. C.
Practice Location Address:

130 E LOCUST ST
DRESDEN, TN
38225-1467

Practice Phone: 731-364-3196
Practice Fax: 731-364-5359

1881681666 — MARK A COOPER M.D.
Practice Location Address:

136 S WILSON ST
DRESDEN, TN
38225-1133

Practice Phone: 731-364-4900
Practice Fax: 731-352-4459

1366430993 — DR. KUMAR P YOGESH M.D.
Practice Location Address:

130 E LOCUST ST
DRESDEN, TN
38225-1467

Practice Phone: 731-364-3196
Practice Fax: 731-364-5359

Directions to “ DR. AMY ELIZABETH MALLON PHARM.D” 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.