Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Bliss Kimble

Individual provider Pharmacist · NPI 1134730237

Mallory Bliss Kimble is a Pharmacist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

4040 N 19th Ave
Phoenix, AZ 85015-5303
Phone: (602) 265-3167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence S024800 (AZ)

Record details

NPI number1134730237
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2020
Last updated in NPPESMay 25, 2021
Certification dateMay 14, 2021
Mailing address3933 E Camelback Rd, Phoenix, AZ 85018-2609

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