Provider Demographics
NPI:1114913084
Name:MULLER, WALTER SCOTT (RPH)
Entity Type:Individual
Prefix:MR
First Name:WALTER
Middle Name:SCOTT
Last Name:MULLER
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:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:HARFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18823-0279
Mailing Address - Country:US
Mailing Address - Phone:570-222-5005
Mailing Address - Fax:
Practice Address - Street 1:5879 SR 92
Practice Address - Street 2:SUITE 3 LENOX PLAZA
Practice Address - City:KINGSLEY
Practice Address - State:PA
Practice Address - Zip Code:18826-9751
Practice Address - Country:US
Practice Address - Phone:570-222-5005
Practice Address - Fax:570-222-5006
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033672L183500000X
PARPI006193183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist