| NPI | 1538180591 |
|---|---|
| Doing Business As | MALLATT'S PHARMACY AND COSTUMES |
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL FLINT President 608-310-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 7237-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-05-18 |