Individual
MR. RICHARD WALTER MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
725 S JANESVILLE ST, MILTON, WI 53563-1775
(608) 868-6777
(608) 868-4177
Mailing address
5054 WALNUT GROVE RD, MILTON, WI 53563-8405
(608) 868-6463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12919
WI
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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