Provider Demographics
NPI:1578685715
Name:MULHEARN, GAIL E (PHARM D)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:E
Last Name:MULHEARN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12525 SE 53RD TERRACE RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:34420-5106
Mailing Address - Country:US
Mailing Address - Phone:352-266-2603
Mailing Address - Fax:
Practice Address - Street 1:202 S MAGNOLIA AVE
Practice Address - Street 2:STE 1
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1177
Practice Address - Country:US
Practice Address - Phone:352-351-1536
Practice Address - Fax:352-351-5325
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0027783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist