Provider Demographics
NPI:1407089568
Name:SCHEEL-O'MULLAN, ANNETTE E (RPH)
Entity type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:E
Last Name:SCHEEL-O'MULLAN
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 1:23 JENNY LN
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-5028
Mailing Address - Country:US
Mailing Address - Phone:732-901-7353
Mailing Address - Fax:
Practice Address - Street 1:1820 LANES MILL RD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-1483
Practice Address - Country:US
Practice Address - Phone:732-840-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02093600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI02093600OtherNJ OFFICE OF THE ATTORNEY GENERAL DIVISONOF CONSUMER AFFAIRS BOARD OF PHARMACY