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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES MATTHEW MALLINSON, P.D, R.PH.

Active Sole Proprietor

CHARLES MATTHEW MALLINSON, P.D, R.PH. is a Pharmacist healthcare provider located in SUGAR CREEK, Missouri. NPI 1780076315 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SUGAR CREEK, MO

Registration Details

NPI Number
1780076315
Provider Type
Individual
Gender
Male
NPI Issued
Feb 18, 2015 (11.302075100072 yrs)
Last Updated
Feb 18, 2015
License
041365 (MO)
Sole Proprietor
Yes

Practice Information

Address
3118 N RIVER BLVD
SUGAR CREEK, MO, 640501105
Browse MO providers · Browse ZIP 64050
Phone
8165907979
Primary Specialty
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.