Provider Demographics
NPI:1710498928
Name:MEULEMAN, MARGARET (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MEULEMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:DI RENZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:631 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-4309
Mailing Address - Country:US
Mailing Address - Phone:765-966-5544
Mailing Address - Fax:
Practice Address - Street 1:631 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-4309
Practice Address - Country:US
Practice Address - Phone:765-966-5544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-14
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26027069A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist