Provider Demographics
NPI:1033490685
Name:MUIR, HELENE (RPH)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:MUIR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 BROOKSIDE RD
Mailing Address - Street 2:PO BOX 505
Mailing Address - City:CLARKSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08510-1204
Mailing Address - Country:US
Mailing Address - Phone:732-409-3597
Mailing Address - Fax:
Practice Address - Street 1:1158 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6800
Practice Address - Country:US
Practice Address - Phone:732-288-9100
Practice Address - Fax:732-288-7954
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01868200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist