Most Relevant Information
Provider Data
| NPI Number: | 1003173352 |
| Provider Name: | NORMAN MALMON |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 7823-40 |
Most Important Dates
| Enumeration Date: | 04/11/2012 |
| Last Updated: | 04/11/2012 |
Provider Practice Location
2607 W LAKE ISLE DR
MEQUON
WI
530922451
Practice Location Phone/Fax
| Phone: | 2622421428 |
| Fax: |
Provider Mailing Location
2323 N LAKE DR
MILWAUKEE
WI
532114508
Provider Mailing Phone/Fax
| Phone: | 4142911068 |
| Fax: |