Provider Demographics
NPI:1447791801
Name:MUIRHEAD, ELAINE L (PHARMD)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:L
Last Name:MUIRHEAD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 SUNRISE AVE
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-3455
Mailing Address - Country:US
Mailing Address - Phone:321-961-5378
Mailing Address - Fax:
Practice Address - Street 1:1098 HIGHWAY A1A
Practice Address - Street 2:
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-2353
Practice Address - Country:US
Practice Address - Phone:321-779-0019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55925183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist