Dennis Alfred Malone Jr., PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Westby, WI

NPI 1497280218 · NPPES record last updated Apr 30, 2017

Key facts

NPI
1497280218
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
13017-40 (WI)
Practice address
211 Ramsland St
Westby, WI 54667-1031
Phone
(608) 306-2916
NPI assigned
Apr 30, 2017
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
13017-40WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 13017-40 WI Yes

Addresses

Primary practice location

211 Ramsland St
Westby, WI 54667-1031

Mailing address

211 Ramsland St
Westby, WI 54667-1031
Phone (608) 306-2916

Other providers in Westby, WI

All providers in Westby, WI · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin

Sources for this page

Verify at the official NPI Registry.