Provider Demographics
NPI:1225389216
Name:MURPHY, TAMI (PD)
Entity Type:Individual
Prefix:DR
First Name:TAMI
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 MURPHY RD
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-8617
Mailing Address - Country:US
Mailing Address - Phone:870-863-4804
Mailing Address - Fax:870-863-6242
Practice Address - Street 1:828 W HILLSBORO ST
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-7047
Practice Address - Country:US
Practice Address - Phone:870-863-4155
Practice Address - Fax:870-863-4262
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR7265183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist