Provider Demographics
NPI:1427139518
Name:MULLER, GEORGE BELTHAZAR (RPH)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:BELTHAZAR
Last Name:MULLER
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:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-0217
Mailing Address - Country:US
Mailing Address - Phone:985-882-6333
Mailing Address - Fax:985-882-5307
Practice Address - Street 1:61000 SEVENTEENTH ST.
Practice Address - Street 2:
Practice Address - City:LACOMBE
Practice Address - State:LA
Practice Address - Zip Code:70445
Practice Address - Country:US
Practice Address - Phone:985-882-6333
Practice Address - Fax:985-882-5307
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist