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NPI Code Detail

MEDICARE: JENNIFER MICHELLE MURPHY

MEDICARE:   JENNIFER MICHELLE 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
1183500000XPharmacist0202215952VA

General Provider Information

NPI Number : 1043733249
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MICHELLE MURPHY
Provider Business Mailing Address
First Line : 9807 KERRY LN
Second Line :
City : HENRICO
State : VA
Zip : 23238-4922
Country : US
Telephone Number : 804-928-5382
Fax Number :
Provider Business Practice Location Address
First Line : 11895 W BROAD ST
Second Line :
City : HENRICO
State : VA
Zip : 23233-1065
Country : US
Telephone Number : 804-360-3268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2017
Last Update Date : 07/19/2017

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Directions to “ JENNIFER MICHELLE MURPHY ” Practice Location

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