Mallada, Jason Lawrence

Mallada, Jason Lawrence is an individual health care provider with primary practice located at 2014 Washington St , Newton MA 02462. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mallada, Jason Lawrence can be contacted via phone (617) 243-6000.

Contact Information

Primary practice address
2014 Washington St Newton MA 02462
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 058070 New York

Profile Details

NPI number 1215369053
LBN Legal business name Mallada, Jason Lawrence
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2013
Last updated Feb 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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