# MULLEN PHARMACY PA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grant County Drug LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497519508
- **Authorized official:** TYSON MULLEN (OWNER/PHARMD)
- **Authorized official phone:** (620) 356-1446

## Contact information

- **Practice address:** 219 N MAIN ST, ULYSSES, KS 67880-2130
- **Practice address phone:** (620) 356-1446
- **Practice address fax:** (620) 356-5381
- **Mailing address:** PO BOX 570, ULYSSES, KS 67880-0570
- **Mailing address phone:** (620) 356-1446
- **Mailing address fax:** (620) 356-5381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2024
- **Last updated:** 02/08/2024