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NPI Code Detail

MEDICARE: DANIEL RYAN MULLINS PHARMD

MEDICARE: DANIEL RYAN MULLINS PHARMD
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
1183500000XPharmacistRP0008033WV
2183500000XPharmacist0202211682VA

General Provider Information

NPI Number : 1932545647
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL RYAN MULLINS PHARMD
Provider Business Mailing Address
First Line : PO BOX 1251
Second Line :
City : MOUNT GAY
State : WV
Zip : 25637-1251
Country : US
Telephone Number : 304-239-2020
Fax Number : 304-239-3468
Provider Business Practice Location Address
First Line : 164 HOLDEN RD
Second Line :
City : MOUNT GAY
State : WV
Zip : 25637
Country : US
Telephone Number : 304-239-2020
Fax Number : 304-239-3468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2013
Last Update Date : 05/21/2013

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Directions to “ DANIEL RYAN MULLINS PHARMD” Practice Location

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