Provider Demographics
NPI:1457327348
Name:MALONE, PATRICK M (PHARMD, FASHP)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:M
Last Name:MALONE
Suffix:
Gender:M
Credentials:PHARMD, FASHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 WINTER PINE DR
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-9599
Mailing Address - Country:US
Mailing Address - Phone:419-581-2661
Mailing Address - Fax:
Practice Address - Street 1:1000 N MAIN ST
Practice Address - Street 2:UNIVERSITY OF FINDLAY - SCHOOL OF PHARMACY
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3653
Practice Address - Country:US
Practice Address - Phone:419-434-4389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030912183500000X
OH03-2-13975183500000X
NE10406183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist