Provider Demographics
NPI:1508150871
Name:MCMULLEN, ALEXANDER A (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:A
Last Name:MCMULLEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 ARLINGTON AVE
Mailing Address - Street 2:ATTN PHARMACY (T0291)
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3252
Mailing Address - Country:US
Mailing Address - Phone:951-276-9319
Mailing Address - Fax:
Practice Address - Street 1:3333 ARLINGTON AVE
Practice Address - Street 2:ATTN PHARMACY (T0291)
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3252
Practice Address - Country:US
Practice Address - Phone:951-276-9319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-04
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64208183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist