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NPI Code Detail

MEDICARE: THAD MURRAY

MEDICARE: THAD MURRAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist3534SC

General Provider Information

NPI Number : 1063678464
Entity Type Code : Individual
Provider Name (Legal Business Name) : THAD MURRAY
Provider Business Mailing Address
First Line : 877 REGATTA RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-4934
Country : US
Telephone Number : 843-795-3667
Fax Number :
Provider Business Practice Location Address
First Line : 3727 RIVERS AVE
Second Line : SUITE 2
City : NORTH CHARLESTON
State : SC
Zip : 29405
Country : US
Telephone Number : 843-745-8636
Fax Number : 843-747-6841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2008
Last Update Date : 08/05/2008

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Directions to “ THAD MURRAY ” Practice Location

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