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Organization
MULLEN PHARMACY PA INC
Active
Organization
MULLEN PHARMACY PA INC
Active
Other names
Grant County Drug
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON MULLEN PHARMD (OWNER)
(620) 356-1446
Entity
Organization
Contact information
Practice address
219 N MAIN ST, ULYSSES, KS 67880-2130
(620) 356-1446
(620) 356-5381
Mailing address
PO BOX 570, ULYSSES, KS 67880-0570
(620) 356-1446
(620) 356-5381
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
3336C0002X
Clinic Pharmacy
Primary
—
NULL
Other
Enumeration date
05/08/2025
Last updated
06/13/2025
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