MEDICARE: MICHAEL JOSEPH MURPHY RPH

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
1	183500000X	Pharmacist	PS17636	FL

General Provider Information

NPI Number	:	1396082152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JOSEPH MURPHY RPH

Provider Business Mailing Address
First Line	:	851 S STATE ROAD 434
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-4811
Country	:	US
Telephone Number	:	407-522-1105
Fax Number	:	407-522-1110

Provider Business Practice Location Address
First Line	:	851 S STATE ROAD 434
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-4811
Country	:	US
Telephone Number	:	407-522-1105
Fax Number	:	407-522-1110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2013
Last Update Date	:	01/12/2013

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