Provider Demographics
NPI:1821673963
Name:MUELLER, ANITA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:
Last Name:MUELLER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:HORTON
Mailing Address - State:KS
Mailing Address - Zip Code:66439-1238
Mailing Address - Country:US
Mailing Address - Phone:785-486-3765
Mailing Address - Fax:
Practice Address - Street 1:1903 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:HORTON
Practice Address - State:KS
Practice Address - Zip Code:66439-1238
Practice Address - Country:US
Practice Address - Phone:785-486-3765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-15382183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist