MEDICARE: DAVID PAUL MUELLER 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	1835G0303X	Geriatric Pharmacist	8292-040	WI

General Provider Information

NPI Number	:	1497072441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID PAUL MUELLER RPH

Provider Business Mailing Address
First Line	:	2150 W ORANGE GROVE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 W ORANGE GROVE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3119
Country	:	US
Telephone Number	:	520-544-9480
Fax Number	:

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

Provider Enumeration Date	:	04/30/2010
Last Update Date	:	04/30/2010

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