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NPI Code Detail

MEDICARE: MS. CLARA MALONE RPH

MEDICARE:  MS. CLARA  MALONE  RPH
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
1183500000XPharmacist19437TX

General Provider Information

NPI Number : 1023347515
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLARA MALONE RPH
Provider Business Mailing Address
First Line : 6926 ANTOINE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77091-1212
Country : US
Telephone Number : 713-957-8185
Fax Number : 713-957-1349
Provider Business Practice Location Address
First Line : 6926 ANTOINE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77091-1212
Country : US
Telephone Number : 713-957-8185
Fax Number : 713-957-1349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2009
Last Update Date : 12/14/2009

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Directions to “ MS. CLARA MALONE RPH” Practice Location

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