National Provider Identifier

Jeffrey C Mallon, PHARMD

Jeffrey C Mallon, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Rochester, NY and a listed phone number of (585) 621-5600.

NPI 1578735676Rochester, NYPharmacist

Profile Overview

NPI
1578735676
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
March 28, 2008
Last Updated
March 29, 2008

Practice Location

  • 3660 Dewey Ave
  • Attn: Pharmacy Manager
  • Rochester, NY 14616-3026

Phone: (585) 621-5600

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1578735676
Entity Type
Individual
Last Name
Mallon
First Name
Jeffrey
Middle Name
C
Credential
PHARMD
Mailing Street Address
3660 Dewey Ave
Mailing Address Line 2
Attn: Pharmacy Manager
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-3026
Mailing Country
US
Mailing Phone
(585) 621-5600
Mailing Fax
(585) 621-9467
Practice Street Address
3660 Dewey Ave
Practice Address Line 2
Attn: Pharmacy Manager
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-3026
Practice Country
US
Practice Phone
(585) 621-5600
Practice Fax
(585) 621-9467
Enumeration Date
March 28, 2008
Last Updated
March 29, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)
Other Identifiers
051239 (NY, Pharmacist License)