Mallorie Mae Dukmen
Individual provider Active NPI Pharmacist · Gilbertsville, PA
NPI 1083580195 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1083580195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP459827 (PA)
- Practice address
- 173 Holly Rd
Gilbertsville, PA 19525-9367 - Phone
- (610) 473-3204
- NPI assigned
- Oct 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP459827 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP459827 | PA | Yes |
Addresses
Primary practice location
173 Holly Rd
Gilbertsville, PA 19525-9367
Mailing address
7 W Penn St
Schuylkill Haven, PA 17972-1944
Phone (570) 573-9051
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All providers in Gilbertsville, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.