Provider Demographics
NPI:1639614290
Name:MURCHLAND, CLINTON ROBERT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CLINTON
Middle Name:ROBERT
Last Name:MURCHLAND
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 1:828 FOX POINT PLAZA
Mailing Address - Street 2:PHARMACY
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956
Mailing Address - Country:US
Mailing Address - Phone:920-722-1348
Mailing Address - Fax:920-722-1624
Practice Address - Street 1:828 FOX POINT PLAZA
Practice Address - Street 2:PHARMACY
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956
Practice Address - Country:US
Practice Address - Phone:920-722-1348
Practice Address - Fax:920-722-1624
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18048-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist