MEDICARE: GREG MULLENS DPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	12095	OK

General Provider Information

NPI Number	:	1578166062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREG MULLENS DPH

Provider Business Mailing Address
First Line	:	9011 NE 23RD ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73141-3009
Country	:	US
Telephone Number	:	405-769-3193
Fax Number	:	405-769-3606

Provider Business Practice Location Address
First Line	:	9011 NE 23RD ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73141-3009
Country	:	US
Telephone Number	:	405-769-3193
Fax Number	:	405-769-3606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2020
Last Update Date	:	11/18/2020

Similar Medicare Providers

1306864095 — WAL-MART STORES EAST LP
Practice Location Address:

9011 NE 23RD ST
OKLAHOMA CITY, OK
73141-3009

Practice Phone: 405-769-3193
Practice Fax:

1124628045 — ROBIN PEARSON DPH
Practice Location Address:

9011 NE 23RD ST
OKLAHOMA CITY, OK
73141-3009

Practice Phone: 405-769-3193
Practice Fax: 405-769-3606

1164024675 — PATRICIA DEANNE SMITH
Practice Location Address:

9011 NE 23RD ST
OKLAHOMA CITY, OK
73141-3009

Practice Phone: 405-769-3193
Practice Fax:

1235992488 — WAL-MART STORES EAST, LP
Practice Location Address:

9011 NE 23RD ST
OKLAHOMA CITY, OK
73141-3009

Practice Phone: 405-769-2164
Practice Fax:

1043237175 — WAL-MART STORES EAST LP
Practice Location Address:

911 SW 104TH ST
OKLAHOMA CITY, OK
73139-3009

Practice Phone: 405-692-3866
Practice Fax:

1164639787 — MICHELE DUNN SCHICHT MS
Practice Location Address:

3009 N TULSA DR
OKLAHOMA CITY, OK
73107-1327

Practice Phone: 405-947-0540
Practice Fax:

Directions to “ GREG MULLENS DPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.