Petty, Malene Elizabeth

Petty, Malene Elizabeth is an sole proprietor health care provider with primary practice located at 7219 Walton St , Rockford IL 61108-2607. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Petty, Malene Elizabeth can be contacted via phone (815) 399-7195.

Contact Information

Primary practice address
7219 Walton St Rockford IL 61108-2607
Phone: (815) 399-7195
Fax: (815) 399-7273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.290837 Illinois

Profile Details

NPI number 1568684512
LBN Legal business name Petty, Malene Elizabeth
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
Last updated Aug 20th, 2019 - about 6 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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