# MULLANEY MEDICAL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MULLANEYS LTC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073670014
- **Authorized official:** THOMAS MULLANEY RPH (PRESIDENT)
- **Authorized official phone:** (513) 587-6201

## Contact information

- **Practice address:** 6096 MONTGOMERY RD, SUITE B, CINCINNATI, OH 45213-1618
- **Practice address phone:** (513) 587-6202
- **Practice address fax:** (513) 587-7650
- **Mailing address:** 6096 MONTGOMERY RD, SUITE B, CINCINNATI, OH 45213-1618
- **Mailing address phone:** (513) 587-6202
- **Mailing address fax:** (513) 587-7650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 021620600 | OH | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 03/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2080487 | PK | — |
| 05 | — | 2684108 | — | OH |