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NPI Code Detail

MEDICARE: MS. CLAIRE MALONSON FRY RPH BCPP

MEDICARE: MS. CLAIRE MALONSON FRY RPH BCPP
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
11835P1300XPsychiatric Pharmacist45312CA

General Provider Information

NPI Number : 1538151980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLAIRE MALONSON FRY RPH BCPP
Provider Business Mailing Address
First Line : 133 BRAEMER CT
Second Line :
City : BENICIA
State : CA
Zip : 94510-2003
Country : US
Telephone Number : 707-747-6552
Fax Number : 707-253-5766
Provider Business Practice Location Address
First Line : 2100 NAPA VALLEJO HWY
Second Line :
City : NAPA
State : CA
Zip : 94558-6234
Country : US
Telephone Number : 707-253-5367
Fax Number : 707-253-5766
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 07/08/2007

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