Ronald Bert Malouf, DOCTOR OF PHARMACY
Individual provider Active NPI Pharmacist · North Ogden, UT
NPI 1093922262 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093922262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 357403-1701 (UT)
- Practice address
- 2835 N 975 E
North Ogden, UT 84414-2423 - Phone
- (801) 866-7448
- NPI assigned
- May 17, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| 357403-1701 | UT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 357403-1701 | UT | Yes |
Addresses
Primary practice location
2835 N 975 E
North Ogden, UT 84414-2423
Mailing address
2835 N 975 E
North Ogden, UT 84414-2423
Phone (801) 866-7448
Other providers in North Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.