Provider Demographics
NPI:1225434335
Name:DAVID W. MURPHY INC
Entity Type:Organization
Organization Name:DAVID W. MURPHY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:570-646-8040
Mailing Address - Street 1:PO BOX 648
Mailing Address - Street 2:SUITE 393/1
Mailing Address - City:BLAKESLEE
Mailing Address - State:PA
Mailing Address - Zip Code:18610-0648
Mailing Address - Country:US
Mailing Address - Phone:570-646-8040
Mailing Address - Fax:570-643-9031
Practice Address - Street 1:393 ROUTE 940
Practice Address - Street 2:SUITE 1
Practice Address - City:BLAKESLEE
Practice Address - State:PA
Practice Address - Zip Code:18610
Practice Address - Country:US
Practice Address - Phone:570-646-8040
Practice Address - Fax:570-643-9031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP412175L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1174656177OtherNPI