Provider Demographics
NPI:1700472909
Name:BAUMULLER, KARIN LINDA (RPH)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:LINDA
Last Name:BAUMULLER
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 1:35 INTERSTATE SHOP CTR
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1130
Mailing Address - Country:US
Mailing Address - Phone:201-327-0088
Mailing Address - Fax:201-785-1093
Practice Address - Street 1:35 INTERSTATE SHOP CTR
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1130
Practice Address - Country:US
Practice Address - Phone:201-327-0088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-12
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01521000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist