MEDICARE: AMOS MALONE DPH

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
1	183500000X	Pharmacist	OK 8116	OK
2	1835N1003X	Nutrition Support Pharmacist	3739	OK

General Provider Information

NPI Number	:	1659485118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMOS MALONE DPH

Provider Business Mailing Address
First Line	:	2430 CHOCTAW DR
Second Line	:
City	:	CHOCTAW
State	:	OK
Zip	:	73020-6565
Country	:	US
Telephone Number	:	405-454-2476
Fax Number	:	405-454-3507

Provider Business Practice Location Address
First Line	:	2060 N CHURCH AVE
Second Line	:
City	:	HARRAH
State	:	OK
Zip	:	73045-0247
Country	:	US
Telephone Number	:	405-454-2477
Fax Number	:	405-454-3507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1023042314 — HARRAH PHARMACY INC.
Practice Location Address:

2060 N CHURCH AVE
HARRAH, OK
73045-0247

Practice Phone: 405-454-2476
Practice Fax: 405-454-3507

1942368667 — HARRAH PHARMACY INC.
Practice Location Address:

2060 N CHURCH
HARRAH, OK
73045-0247

Practice Phone: 405-454-2476
Practice Fax: 405-454-3507

1518534973 — ALYSSA ELAINE CASEY PHARMD
Practice Location Address:

2060 N CHURCH AVE
HARRAH, OK
73045-0247

Practice Phone: 405-454-2476
Practice Fax: 405-454-3507

1316597040 — AMANDA SAUVILLER LPC-S
Practice Location Address:

1601 S POTTAWATOMIE RD
HARRAH, OK
73045-5933

Practice Phone: 405-388-2339
Practice Fax:

1093716342 — BESTYET PHARMACY LLC
Practice Location Address:

19671 NE 23RD ST
HARRAH, OK
73045-9305

Practice Phone: 405-454-6261
Practice Fax: 405-454-6262

1831191600 — MR. RAYMOND NEALE COY JR. D.PH.
Practice Location Address:

19655 NE 23RD ST
HARRAH, OK
73045-9305

Practice Phone: 405-454-6261
Practice Fax: 405-454-6262

Directions to “ AMOS MALONE DPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.