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NPI Code Detail

MEDICARE: MALLORY CARROLL PHARMD

MEDICARE: MALLORY CARROLL 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
1183500000XPharmacist1671473ID

General Provider Information

NPI Number : 1871464123
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALLORY CARROLL PHARMD
Provider Business Mailing Address
First Line : 731 N IRON BRIDGE WAY
Second Line :
City : SPOKANE
State : WA
Zip : 99202-4926
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 3919 N MAPLE ST
Second Line :
City : SPOKANE
State : WA
Zip : 99205-1349
Country : US
Telephone Number : 509-444-8200
Fax Number : 509-434-0392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2025
Last Update Date : 01/25/2026

Similar Medicare Providers

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1801150586 — EVAN D FULLER PHARMD
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1174166565 — COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Practice Location Address:
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SPOKANE, WA
99205-1349
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1326005851 — COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Practice Location Address:
3919 N MAPLE ST
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Directions to “ MALLORY CARROLL PHARMD” Practice Location

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