Search › Illinois › 183500000X
Malene Petty, PHARMD
NPI 1568684512 · on the registry since 2007 · sole proprietor
Practice
- Address
- 7219 Walton St
Rockford, IL 61108 - Phone
- (815) 399-7195
- Fax
- (815) 399-7273
- Organisation at this address
- Walmart Inc.
Wal-Mart Stores, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 2545 Il Route 26 S, Freeport, IL
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois