# MULLANEY MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mullaney's Pharmacy & Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720295371
- **Authorized official:** THOMAS MULLANEY (PRESIDENT)
- **Authorized official phone:** (513) 587-6201

## Contact information

- **Practice address:** 7846 CINCINNATI DAYTON RD, WEST CHESTER, OH 45069-2009
- **Practice address phone:** (513) 779-9808
- **Practice address fax:** (513) 587-7645
- **Mailing address:** 7846 CINCINNATI DAYTON RD, WEST CHESTER, OH 45069-2009
- **Mailing address phone:** (513) 779-9808
- **Mailing address fax:** (513) 587-7645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | RTP02223310003 | OH | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |
| 3336L0003X | Long Term Care Pharmacy | — | — | — |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 12/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2147831 | — | OH |
| 01 | — | 3680495 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |