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Mr. Malla Mitta, RPH
Pharmacist in Port Huron, Michigan
NPI 1942871876

Malla Mitta is a Pharmacist based in Port Huron, MI. Malla Mitta practices in Port Huron, MI and has the professional credentials of RPH. The NPI Number for Malla Mitta is 1942871876 and holds a License No. 5302038531 (Michigan).

The current practice location address for Malla Mitta is 1524 10Th St, Port Huron, MI and can be reached out via phone at 810-982-3100 and via fax at 810-982-3106.

Location: 1524 10Th St, Port Huron, MI, 48060-5815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942871876
Provider Name
Malla Mitta
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
1524 10Th St, Port Huron, MI, 48060-5815
Phone Number
810-982-3100
Fax Number
810-982-3106
Provider Enumeration Date
07/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1524 10Th St
City
Port Huron
State
Michigan
Zip
48060-5815
Phone Number
810-982-3100
Fax Number
810-982-3106
person
Provider Business Mailing Address Details
Address
1524 10Th St
City
Port Huron
State
Michigan
Zip
48060-5815
Phone Number
810-982-3100
Fax Number
810-982-3106
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302038531 (Michigan)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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