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NPI Code Detail

MEDICARE: MR. MICHAEL FRANCIS MCNULTY B.S.,R.PH.

MEDICARE: MR. MICHAEL FRANCIS MCNULTY B.S.,R.PH.
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
11835P1300XPsychiatric Pharmacist03-1-08803OH

General Provider Information

NPI Number : 1992788327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL FRANCIS MCNULTY B.S.,R.PH.
Provider Business Mailing Address
First Line : PO BOX 2926
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-0926
Country : US
Telephone Number : 330-966-1841
Fax Number : 330-833-2211
Provider Business Practice Location Address
First Line : 3000 ERIE ST S
Second Line :
City : MASSILLON
State : OH
Zip : 44646-7976
Country : US
Telephone Number : 330-833-3135
Fax Number : 330-833-2211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 07/08/2007

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