NPI 1114295599

Polly Bhamra Mallinga, DOCTOROFPHARMACY

Practitioner Pharmacist Lansing, IL

Practice location

Address: 3564 Ridge Rd, Lansing, IL 60438
Phone: (708) 895-7937
Mailing address: 2934 Imperial CT, Flossmoor, IL 60422-2210

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051.287846 (IL)

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Registry record

NPI: 1114295599
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2011
Record last updated: 13 Dec 2011

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.