Individual
DANIEL RYAN MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
164 HOLDEN RD, MOUNT GAY, WV 25637
(304) 239-2020
(304) 239-3468
Mailing address
PO BOX 1251, MOUNT GAY, WV 25637-1251
(304) 239-2020
(304) 239-3468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211682
VA
183500000X
Pharmacist
RP0008033
WV
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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