Provider Demographics
NPI:1366501058
Name:MALESKER, MARK A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:A
Last Name:MALESKER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:CREIGHTON UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:2500 CALIFORNIA PLAZA
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68178-0001
Mailing Address - Country:US
Mailing Address - Phone:402-280-1867
Mailing Address - Fax:402-280-1268
Practice Address - Street 1:CREIGHTON UNIVERSITY MEDICAL CTR
Practice Address - Street 2:2500 CALIFORNIA PLAZA
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68178-0001
Practice Address - Country:US
Practice Address - Phone:402-280-1867
Practice Address - Fax:402-280-1268
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE100061835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy