NPI 1003102914

Malena Bullard, PHARMD

Practitioner Pharmacist Deland, FL

Practice location

Address: 1205 S Woodland Blvd STE 5, Deland, FL 32720
Phone: (386) 888-4912
Fax: (386) 269-9950
Mailing address: 2650 Dakota Dr, Deland, FL 32724-9636

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PS32524 (FL)

Other Pharmacist providers in Florida →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence RPH50132 (CA)

Registry record

NPI: 1003102914
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2011
Record last updated: 25 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.