| NPI | 1477837417 |
|---|---|
| Former Name | CHARLES MICHAEL MCNULTY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 6200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-06200) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |