Provider Demographics
NPI:1639292808
Name:MUELLER, STEVEN JOSEPH (RPH)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOSEPH
Last Name:MUELLER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 N BEND RD STE A
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-9551
Mailing Address - Country:US
Mailing Address - Phone:859-586-6700
Mailing Address - Fax:859-980-0129
Practice Address - Street 1:5555 N BEND RD STE A
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:KY
Practice Address - Zip Code:41005-9551
Practice Address - Country:US
Practice Address - Phone:859-586-6700
Practice Address - Fax:859-980-0129
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03-3-20415OtherPHARMACIST LICENSE
KY9264OtherPHARMACIST LICENSE
IN26020943AOtherPHARMACIST LICENSE