Organization
MULLANEY MEDICAL INC
Active
Other names
Mullaney's Pharmacy & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MULLANEY (PRESIDENT)
(513) 587-6201
Entity
Organization
Contact information
Practice address
7846 CINCINNATI DAYTON RD, WEST CHESTER, OH 45069-2009
(513) 779-9808
(513) 587-7645
Mailing address
7846 CINCINNATI DAYTON RD, WEST CHESTER, OH 45069-2009
(513) 779-9808
(513) 587-7645
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
RTP02223310003
OH
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2147831
—
OH
01
—
3680495
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/16/2007
Last updated
12/26/2012
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