IndividualActive
Joshua Mallow, PHARM D.
NPI 1104046770 · Pharmacotherapy Pharmacist · Ft. Sill, OK
Provider details
- NPI number
- 1104046770
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM D.
- Sex
- Male
- Sole proprietor
- No
- License
- 13433 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4300 Thomas Street
Population Health Clinic
Ft. Sill, OK 73503
Phone: (580) 458-2443
Approximate (ZIP-level) locationGet directions
Mailing address
111 Stardust Cir
Walters, OK 73572-6701
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.