Malone, Otis Len

Malone, Otis Len is an sole proprietor health care provider with primary practice located at 700 W Park Ave , Greenwood MS 38930-2910. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Malone, Otis Len can be contacted via phone (662) 451-1121.

Contact Information

Primary practice address
700 W Park Ave Greenwood MS 38930-2910
Fax: (662) 451-1424
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E-15631 Mississippi

Profile Details

NPI number 1235740903
LBN Legal business name Malone, Otis Len
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2020
Last updated Aug 14th, 2020 - about 5 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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