NPI 1003173352

Norman Malmon

Practitioner Pharmacist Mequon, WI

Practice location

Address: 2607 W Lake Isle Dr, Mequon, WI 53092-2451
Phone: (262) 242-1428
Mailing address: 2323 N Lake Dr, Milwaukee, WI 53211-4508

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 7823-40 (WI)

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Registry record

NPI: 1003173352
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2012
Record last updated: 11 Apr 2012

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.