Debra Lyn Mullet, RPH
Individual provider Active NPI Pharmacist · Berlin, OH
NPI 1700079902 · NPPES record last updated Nov 26, 2020
Key facts
- NPI
- 1700079902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03-2-28123 (OH)
- Practice address
- 4912 Maple Street
Berlin, OH 44610 - Phone
- (330) 893-3179
- Fax
- (330) 893-3019
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-2-28123 | OH | Yes |
Addresses
Primary practice location
4912 Maple Street
Berlin, OH 44610
Mailing address
PO Box 68
Berlin, OH 44610-0068
Phone (330) 231-0919
Other providers in Berlin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.