MEDICARE: CLAIRE VICTORIA MURPHY

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	183700000X	Pharmacy Technician	2005005447	MO

General Provider Information

NPI Number	:	1760445159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE VICTORIA MURPHY

Provider Business Mailing Address
First Line	:	4269 CONNECTICUT ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-1903
Country	:	US
Telephone Number	:	314-226-9687
Fax Number	:

Provider Business Practice Location Address
First Line	:	4269 CONNECTICUT ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-1903
Country	:	US
Telephone Number	:	314-226-9687
Fax Number	:

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

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	07/08/2007

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Directions to “ CLAIRE VICTORIA MURPHY ” Practice Location

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