Provider Demographics
NPI:1245681634
Name:MCMULLEN, DANIEL J (PHARM D)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:MCMULLEN
Suffix:
Gender:M
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 1:1062 CARNOUSTIE CIR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8093
Mailing Address - Country:US
Mailing Address - Phone:330-428-0519
Mailing Address - Fax:
Practice Address - Street 1:5515 PARKCENTER CIR STE 175
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3560
Practice Address - Country:US
Practice Address - Phone:855-598-1070
Practice Address - Fax:866-214-3075
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRPH.03135678-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist