Individual
DR. CHARLES MICHAEL MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
4625 SUMMER AVE, MEMPHIS, TN 38122-4137
(901) 682-1026
(901) 684-1430
Mailing address
4625 SUMMER AVE, MEMPHIS, TN 38122-4137
(901) 682-1026
(901) 684-1430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6200
TN
183500000X
Pharmacist
E-06200
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4424204
NABP
—
Enumeration date
10/10/2011
Last updated
10/10/2011
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