Provider Demographics
NPI:1528344736
Name:MALEK, LORI ANN (RPH)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:MALEK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E 1ST ST STE 1800
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-2100
Mailing Address - Country:US
Mailing Address - Phone:515-643-7590
Mailing Address - Fax:515-643-7595
Practice Address - Street 1:800 E 1ST ST STE 1800
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-2100
Practice Address - Country:US
Practice Address - Phone:515-643-7590
Practice Address - Fax:515-643-7595
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19128183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist