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NPI Code Detail

MEDICARE: ANDREA MURRAY PHARM D

MEDICARE: ANDREA MURRAY PHARM D
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
1183500000XPharmacist61126CA

General Provider Information

NPI Number : 1134405210
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA MURRAY PHARM D
Provider Business Mailing Address
First Line : 1718 SOQUEL AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-1306
Country : US
Telephone Number : 831-425-3911
Fax Number : 831-425-2074
Provider Business Practice Location Address
First Line : 1718 SOQUEL AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-1306
Country : US
Telephone Number : 831-425-3911
Fax Number : 831-425-2074
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2011
Last Update Date : 11/02/2011

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