Provider Demographics
NPI:1659574416
Name:MULIERI, KEVIN MICHAEL (BS, PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:MICHAEL
Last Name:MULIERI
Suffix:
Gender:M
Credentials:BS, PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 LANTERN LN
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-3831
Mailing Address - Country:US
Mailing Address - Phone:717-838-0637
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:PHARMACY DEPARTMENT H079
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-0850
Practice Address - Country:US
Practice Address - Phone:717-531-7020
Practice Address - Fax:717-531-0682
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP437796183500000X
NJ28RI02692400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist