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NPI Code Detail

MEDICARE: DR. GEORGE DARREN MALONE PHARMD.

MEDICARE:  DR. GEORGE DARREN MALONE  PHARMD.
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
11835P1200XPharmacotherapy PharmacistPS37809FL

General Provider Information

NPI Number : 1376583682
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE DARREN MALONE PHARMD.
Provider Business Mailing Address
First Line : 12532 HERONS PATH PL
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-3393
Country : US
Telephone Number : 813-567-1479
Fax Number :
Provider Business Practice Location Address
First Line : 919 53RD AVE E
Second Line :
City : BRADENTON
State : FL
Zip : 34203-4801
Country : US
Telephone Number : 941-751-8132
Fax Number : 941-751-8113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GEORGE DARREN MALONE PHARMD.” Practice Location

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