Healthcare Provider Details

I. General information

NPI: 1336353234
Provider Name (Legal Business Name): CHARLES GILBERT MUENDLEIN JR. P.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 YORK RD
TIMONIUM MD
21093-2265
US

IV. Provider business mailing address

2345 YORK RD
TIMONIUM MD
21093-2265
US

V. Phone/Fax

Practice location:
  • Phone: 410-343-1092
  • Fax:
Mailing address:
  • Phone: 410-308-9792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number10554
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10554
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: