IndividualActive
Amos Malone, DPH
NPI 1659485118 · Nutrition Support Pharmacist · Harrah, OK
Provider details
- NPI number
- 1659485118
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Credential
- DPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- OK 8116 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
2060 N Church Ave
Harrah, OK 73045-0247
Phone: (405) 454-2477
Fax: (405) 454-3507
Approximate (ZIP-level) locationGet directions
Mailing address
2430 Choctaw Dr
Choctaw, OK 73020-6565
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.