Provider Demographics
NPI:1114131059
Name:MUELLER, LOUIS HENRY (RPH)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:HENRY
Last Name:MUELLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 PRESERVE PL
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-4032
Mailing Address - Country:US
Mailing Address - Phone:727-787-6072
Mailing Address - Fax:727-787-6072
Practice Address - Street 1:531 MAIN ST
Practice Address - Street 2:SUITE K
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3558
Practice Address - Country:US
Practice Address - Phone:727-787-6072
Practice Address - Fax:727-787-6072
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2014-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS11735183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist