Ian Charles Mcmullen, PHARM.D., RPH. Valid NPI
Individual provider · Pharmacist · Monte Vista, CO
- NPI
- 1952786105
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 60479 (NY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2015-07-29
- Last updated
- 2023-06-02
Practice location
222 Solar Ave
Monte Vista, CO 81144-1066
(907) 202-6132