Malouse, Mark R

Malouse, Mark R is an individual health care provider with primary practice located at 1010 Common St Suite A1460, New Orleans LA 70112-2401. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Malouse, Mark R can be contacted via phone (504) 568-7097.

Contact Information

Primary practice address
1010 Common St Suite A1460 New Orleans LA 70112-2401
Fax: (504) 568-8306
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13787 Louisiana

Profile Details

NPI number 1700857091
LBN Legal business name Malouse, Mark R
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 5th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700857091 NPPES
Louisiana Other 13787 PHARMACIST LICENSE

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