Healthcare Provider Details

I. General information

NPI: 1619002805
Provider Name (Legal Business Name): DAVID WILLIAM MALONEY PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DAVID MALONEY PHARM D

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 11/23/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 DRAPER ST
KINGSBURG CA
93631-1909
US

IV. Provider business mailing address

764 HERITAGE AVE
CLOVIS CA
93619-7643
US

V. Phone/Fax

Practice location:
  • Phone: 559-897-5111
  • Fax: 559-897-1926
Mailing address:
  • Phone: 559-322-7660
  • Fax: 559-322-7660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number25331
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: