MEDICARE: MURPHY MEDICAL SUPPLY LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies	03548	MS
2	332BC3200X	Customized Equipment (DME)	22246	MS
3	332BX2000X	Oxygen Equipment & Supplies (DME)	03548	MS
4	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093795148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MURPHY MEDICAL SUPPLY LLC

Provider Business Mailing Address
First Line	:	P.O. BOX 808
Second Line	:
City	:	EUPORA
State	:	MS
Zip	:	39744
Country	:	US
Telephone Number	:	662-258-2176
Fax Number	:	662-258-3333

Provider Business Practice Location Address
First Line	:	65 MEDICAL PLAZA
Second Line	:
City	:	EUPORA
State	:	MS
Zip	:	39744
Country	:	US
Telephone Number	:	662-258-2176
Fax Number	:	662-258-3333

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL ALLEN MURPHY
Credential	:
Telephone Number	:	662-258-2176

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	11/21/2011

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Directions to “MURPHY MEDICAL SUPPLY LLC ” Practice Location

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