Healthcare Provider Details

I. General information

NPI: 1639614290
Provider Name (Legal Business Name): CLINTON ROBERT MURCHLAND PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 PINECREST AVE
STEVENS POINT WI
54481-4326
US

IV. Provider business mailing address

1500 PINECREST AVE PHARMACY
STEVENS POINT WI
54481-4326
US

V. Phone/Fax

Practice location:
  • Phone: 715-345-7175
  • Fax: 715-345-1745
Mailing address:
  • Phone: 715-345-7175
  • Fax: 715-345-1745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number18048-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: