Healthcare Provider Details

I. General information

NPI: 1265534788
Provider Name (Legal Business Name): JANELLE LEA MALAND PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2006
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HOSPITAL DR
COLUMBIA MO
65201-5275
US

IV. Provider business mailing address

3315 APPALACHIAN DR
COLUMBIA MO
65203-0159
US

V. Phone/Fax

Practice location:
  • Phone: 573-814-6400
  • Fax:
Mailing address:
  • Phone: 573-397-8709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14279
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberS014279
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: