MEDICARE: GUSTAV MUEHLENHAUPT

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	81789	CA

General Provider Information

NPI Number	:	1801436498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUSTAV MUEHLENHAUPT

Provider Business Mailing Address
First Line	:	2934 BENDMILL WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95833-1513
Country	:	US
Telephone Number	:	530-306-6087
Fax Number	:

Provider Business Practice Location Address
First Line	:	1351 W CAPITOL AVE
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-3213
Country	:	US
Telephone Number	:	916-371-3801
Fax Number	:	916-371-8401

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

Provider Enumeration Date	:	01/10/2020
Last Update Date	:	01/10/2020

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Directions to “ GUSTAV MUEHLENHAUPT ” Practice Location

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