Provider Demographics
NPI:1679887269
Name:MUEHLBAUER, LENDI J (RPH)
Entity Type:Individual
Prefix:
First Name:LENDI
Middle Name:J
Last Name:MUEHLBAUER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BOULDER DR
Mailing Address - Street 2:
Mailing Address - City:GREENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18426-7603
Mailing Address - Country:US
Mailing Address - Phone:570-352-8506
Mailing Address - Fax:
Practice Address - Street 1:203 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2408
Practice Address - Country:US
Practice Address - Phone:908-852-2223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02481300183500000X
MDPH22684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist