Provider Demographics
NPI:1629325170
Name:MUEHLBAUER, CHARLES HENRY (RPH)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:HENRY
Last Name:MUEHLBAUER
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 1:103 PLEASANT RUN RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-7111
Mailing Address - Country:US
Mailing Address - Phone:908-782-3596
Mailing Address - Fax:
Practice Address - Street 1:103 PLEASANT RUN RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-7777
Practice Address - Country:US
Practice Address - Phone:908-782-3596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01261400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist