Provider Demographics
NPI:1457846123
Name:MULLANEY MEDICAL INC
Entity Type:Organization
Organization Name:MULLANEY MEDICAL INC
Other - Org Name:MULLANEY'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:MULLANEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:513-587-6201
Mailing Address - Street 1:6096 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-1618
Mailing Address - Country:US
Mailing Address - Phone:513-587-6201
Mailing Address - Fax:513-587-7650
Practice Address - Street 1:5275 WINNESTE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45232-1130
Practice Address - Country:US
Practice Address - Phone:513-242-5700
Practice Address - Fax:513-482-5461
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MULLANEY MEDICAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies