Provider Demographics
NPI:1235542275
Name:MULLER, DOUW
Entity Type:Individual
Prefix:DR
First Name:DOUW
Middle Name:
Last Name:MULLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-1890
Mailing Address - Country:US
Mailing Address - Phone:717-762-9676
Mailing Address - Fax:717-762-1584
Practice Address - Street 1:1513 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-1890
Practice Address - Country:US
Practice Address - Phone:717-762-9676
Practice Address - Fax:717-762-1584
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446268183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist