Individual
KEITH ALLEN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EXCPT, CPHT
Contact information
Practice address
2800 WAL MART DR, HUNTINGTON, IN 46750-7977
(260) 519-0614
Mailing address
207 ETNA AVE, HUNTINGTON, IN 46750-3228
(260) 519-0614
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67032453A
IN
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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