Provider Demographics
NPI:1093523151
Name:MALWAL, FRANCIS MARCELLO (PHARMACIST)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:MARCELLO
Last Name:MALWAL
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 OLD TAR RD
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-8436
Mailing Address - Country:US
Mailing Address - Phone:252-321-0469
Mailing Address - Fax:252-321-7294
Practice Address - Street 1:5016 OLD TAR RD
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-8436
Practice Address - Country:US
Practice Address - Phone:252-321-0469
Practice Address - Fax:252-321-7294
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33602183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist