Most Relevant Information
Provider Data
| NPI Number: | 1003332586 |
| Provider Name: | EVAN KEITH MALLORY PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | S022740 |
Most Important Dates
| Enumeration Date: | 08/16/2017 |
| Last Updated: | 08/16/2017 |
Provider Practice Location
3601 S 6TH AVE
TUCSON
AZ
857230001
Practice Location Phone/Fax
| Phone: | 5207921450 |
| Fax: |
Provider Mailing Location
4115 W AERIE DR APT 37
TUCSON
AZ
857412415
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |