Organization
MULLANEY MEDICAL INC
Active
Other names
MULLANEYS LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MULLANEY RPH (PRESIDENT)
(513) 587-6201
Entity
Organization
Contact information
Practice address
6096 MONTGOMERY RD, SUITE B, CINCINNATI, OH 45213-1618
(513) 587-6202
(513) 587-7650
Mailing address
6096 MONTGOMERY RD, SUITE B, CINCINNATI, OH 45213-1618
(513) 587-6202
(513) 587-7650
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
021620600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080487
PK
—
05
—
2684108
—
OH
Enumeration date
01/02/2007
Last updated
03/03/2016
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