Amos Malone, DPH Valid NPI

Individual provider · Nutrition Support Pharmacist · Harrah, OK

NPI

1659485118

Type

Individual (Type 1)

Primary specialty

Nutrition Support Pharmacist (Pharmacist)

Specialty group

Pharmacy Service Providers

Taxonomy code

1835N1003X

License number

3739 (OK)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-19

Last updated

2025-09-11