Provider Demographics
NPI:1760771059
Name:MALINOSKI, JOSEPH W (RPH)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:W
Last Name:MALINOSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONSON
Mailing Address - State:MA
Mailing Address - Zip Code:01057-1320
Mailing Address - Country:US
Mailing Address - Phone:413-267-4021
Mailing Address - Fax:413-267-4051
Practice Address - Street 1:117 MAIN ST
Practice Address - Street 2:
Practice Address - City:MONSON
Practice Address - State:MA
Practice Address - Zip Code:01057-1320
Practice Address - Country:US
Practice Address - Phone:413-267-4021
Practice Address - Fax:413-267-4051
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22266183500000X
CT4985183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist