MEDICARE: TERESA L MUCKLEY RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26016862A	IN
2	183500000X	Pharmacist	PS22922	FL
3	183500000X	Pharmacist	PH19932	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26016862A	OTHER	IN	PHARMACIST STATE LISCENSE

General Provider Information

NPI Number	:	1235410283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA L MUCKLEY RPH

Provider Business Mailing Address
First Line	:	940 DRIFTWOOD AVE
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47203-1083
Country	:	US
Telephone Number	:	812-378-9934
Fax Number	:	812-346-7058

Provider Business Practice Location Address
First Line	:	9 N STATE ST
Second Line	:
City	:	NORTH VERNON
State	:	IN
Zip	:	47265-1723
Country	:	US
Telephone Number	:	812-346-4834
Fax Number	:	812-346-7058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2011
Last Update Date	:	09/05/2011

Similar Medicare Providers

1962455923 — WALGREEN CO
Practice Location Address:

9 N STATE ST
NORTH VERNON, IN
47265-1723

Practice Phone: 812-346-4834
Practice Fax: 812-346-7058

1043591068 — KELLY FERGUSON PHARMD
Practice Location Address:

9 N STATE ST
NORTH VERNON, IN
47265-1723

Practice Phone: 812-346-4834
Practice Fax: 812-346-7058

1083997308 — JOHN WILLIAM HANCOCK PHARMACIST
Practice Location Address:

9 N STATE ST
NORTH VERNON, IN
47265-1723

Practice Phone: 812-346-4834
Practice Fax:

1962175232 — MORGAN LEE PHARMD
Practice Location Address:

9 N STATE ST
NORTH VERNON, IN
47265-1723

Practice Phone: 812-346-4834
Practice Fax:

1033250790 — SCHOOL DIST MT VERNON
Practice Location Address:

731 S LANDRUM ST
MOUNT VERNON, MO
65712-1723

Practice Phone: 417-466-7573
Practice Fax: 417-466-7058

1467578484 — APRIL R SWANSON
Practice Location Address:

SCHOOL DIST MT VERNON , 731 S LANDRUM ST
MOUNT VERNON, MO
65712-1723

Practice Phone: 417-466-7573
Practice Fax: 417-461-5794

Directions to “ TERESA L MUCKLEY RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.