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NPI Code Detail

MEDICARE: DR. MARY ELIZABETH MURPHY PHARM D.

MEDICARE: DR. MARY ELIZABETH MURPHY PHARM D.
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
1183500000XPharmacist2014021638MO

General Provider Information

NPI Number : 1538540182
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY ELIZABETH MURPHY PHARM D.
Provider Business Mailing Address
First Line : 120 S BISHOP AVE
Second Line :
City : ROLLA
State : MO
Zip : 65401-4215
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 120 S BISHOP AVE
Second Line :
City : ROLLA
State : MO
Zip : 65401-4215
Country : US
Telephone Number : 573-426-3338
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2015
Last Update Date : 06/09/2015

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