Healthcare Provider Details

I. General information

NPI: 1932863958
Provider Name (Legal Business Name): JESSICA MURRER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 RABY AVE
PENSACOLA FL
32509-5124
US

IV. Provider business mailing address

2510 E BURGESS RD
PENSACOLA FL
32504-7305
US

V. Phone/Fax

Practice location:
  • Phone: 850-457-1911
  • Fax:
Mailing address:
  • Phone: 561-460-7499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS45127
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: