Provider Demographics
NPI:1417567892
Name:GUARDIAN PHARMACY OF CINCINNATI, LLC
Entity Type:Organization
Organization Name:GUARDIAN PHARMACY OF CINCINNATI, LLC
Other - Org Name:MULLANEY'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-587-6202
Mailing Address - Street 1:11930 KEMPER SPRINGS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1642
Mailing Address - Country:US
Mailing Address - Phone:513-587-6202
Mailing Address - Fax:
Practice Address - Street 1:11930 KEMPER SPRINGS DR STE 100
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1642
Practice Address - Country:US
Practice Address - Phone:513-587-6202
Practice Address - Fax:513-587-7650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies