Mulligan, Gary Edward

Mulligan, Gary Edward is an individual health care provider with primary practice located at 724 S Atherton St Suite 100, State College PA 16801-4628. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mulligan, Gary Edward can be contacted via phone (814) 238-2712.

Contact Information

Primary practice address
724 S Atherton St Suite 100 State College PA 16801-4628
Phone: (814) 238-2712
Fax: (814) 238-0480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP027461L Pennsylvania

Profile Details

NPI number 1669511960
LBN Legal business name Mulligan, Gary Edward
Credentials R PH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669511960 NPPES
Pennsylvania Other RP027461L PHARMACY LICENSE

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