Healthcare Provider Details

I. General information

NPI: 1073246492
Provider Name (Legal Business Name): MALLORY BROOKE ALEXANDER HUX PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MALLORY BROOKE ALEXANDER PHARMD

II. Dates (important events)

Enumeration Date: 07/04/2022
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 FULTON ST
DURHAM NC
27705-3875
US

IV. Provider business mailing address

15 GRAY FOX CT
DURHAM NC
27713-9014
US

V. Phone/Fax

Practice location:
  • Phone: 919-286-0411
  • Fax:
Mailing address:
  • Phone: 317-752-5071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number260297113A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: