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Individual

DR. IAN CHARLES MCMULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D., RPH.

Contact information

Practice address
222 SOLAR AVE, MONTE VISTA, CO 81144-1066
(907) 202-6132
(719) 852-9897
Mailing address
222 SOLAR AVE, MONTE VISTA, CO 81144-1066
(907) 202-6132
(719) 852-9897

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
101335
AK
183500000X
Pharmacist
Primary
60479
NY
183500000X
Pharmacist
PHA.0022164
CO

Other

Enumeration date
07/29/2015
Last updated
06/02/2023
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