Healthcare Provider Details

I. General information

NPI: 1235607961
Provider Name (Legal Business Name): CHARLES ALLEN MURPHY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2018
Last Update Date: 11/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11069 US HIGHWAY 278 E
HOLLY POND AL
35083-6841
US

IV. Provider business mailing address

151 COUNTY ROAD 1710
HOLLY POND AL
35083-6153
US

V. Phone/Fax

Practice location:
  • Phone: 256-796-4449
  • Fax:
Mailing address:
  • Phone: 256-565-5650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13334
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: