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

Mr. Michael Stephen Mallouk, BSPHARMACY

Individual provider Pharmacist · NPI 1649517699

Mr. Michael Stephen Mallouk, BSPHARMACY is a Pharmacist in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

11600 Gladiolus Dr
Fort Myers, FL 33908-4567
Phone: (239) 437-3681
Fax: (239) 437-6133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS17142 (FL)

Record details

NPI number1649517699
Entity typeIndividual (Type 1)
GenderMale
Credentials BSPHARMACY
Sole proprietorNo
NPI enumeratedJanuary 10, 2013
Last updated in NPPESJanuary 10, 2013
Mailing address11600 Gladiolus Dr, Fort Myers, FL 33908-4567

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