Provider Demographics
NPI:1134303324
Name:MURPHY, JESSE (PHARM D)
Entity Type:Individual
Prefix:
First Name:JESSE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6008 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-2649
Mailing Address - Country:US
Mailing Address - Phone:228-215-1020
Mailing Address - Fax:877-506-4160
Practice Address - Street 1:6008 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-2649
Practice Address - Country:US
Practice Address - Phone:228-215-1020
Practice Address - Fax:877-506-4160
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS010231183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist