Provider Demographics
NPI:1407131592
Name:MULLET, MARGARET ELLEN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ELLEN
Last Name:MULLET
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 1:4811 O ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1920
Mailing Address - Country:US
Mailing Address - Phone:402-489-2232
Mailing Address - Fax:402-489-2252
Practice Address - Street 1:4811 O ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1920
Practice Address - Country:US
Practice Address - Phone:402-489-2232
Practice Address - Fax:402-489-2252
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist