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Organization

CHRISTOPHER N MULLIN

Active
Other names
LIFE CIRCLE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER MULLIN MD (OWNER)
(423) 339-1400
Entity
Organization

Contact information

Practice address
2301 N OCOEE ST, STE A, CLEVELAND, TN 37311-3863
(423) 339-1400
(423) 339-9950
Mailing address
2301 N OCOEE ST, STE A, CLEVELAND, TN 37311-3863
(423) 339-1400
(423) 339-9950

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
29312
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4439837
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
10/23/2006
Last updated
01/06/2011
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