MEDICARE: MALLORY ZIRPEL 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
1	183500000X	Pharmacist	6051	SD

General Provider Information

NPI Number	:	1770967507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALLORY ZIRPEL PHARMD

Provider Business Mailing Address
First Line	:	1507 N MAIN ST
Second Line	:
City	:	MITCHELL
State	:	SD
Zip	:	57301-1017
Country	:	US
Telephone Number	:	605-292-1013
Fax Number	:	605-292-1015

Provider Business Practice Location Address
First Line	:	1507 N MAIN ST
Second Line	:
City	:	MITCHELL
State	:	SD
Zip	:	57301-1017
Country	:	US
Telephone Number	:	605-292-1013
Fax Number	:	605-292-1015

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

Provider Enumeration Date	:	07/10/2015
Last Update Date	:	07/10/2015

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Directions to “ MALLORY ZIRPEL PHARMD” Practice Location

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