MEDICARE: DR. DENISE MULLERY PHARM.D.

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	71006	CA

General Provider Information

NPI Number	:	1265839500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE MULLERY PHARM.D.

Provider Business Mailing Address
First Line	:	2744 E TAHQUITZ CANYON WAY APT 227
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-7057
Country	:	US
Telephone Number	:	916-591-8430
Fax Number	:

Provider Business Practice Location Address
First Line	:	2744 E TAHQUITZ CANYON WAY APT 227
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-7057
Country	:	US
Telephone Number	:	916-591-8430
Fax Number	:

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

Provider Enumeration Date	:	12/02/2014
Last Update Date	:	12/02/2014

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Directions to “ DR. DENISE MULLERY PHARM.D.” Practice Location

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