Provider Demographics
NPI:1235607961
Name:MURPHY, CHARLES ALLEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:ALLEN
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 COUNTY ROAD 1710
Mailing Address - Street 2:
Mailing Address - City:HOLLY POND
Mailing Address - State:AL
Mailing Address - Zip Code:35083-6153
Mailing Address - Country:US
Mailing Address - Phone:256-565-5650
Mailing Address - Fax:
Practice Address - Street 1:11069 US HIGHWAY 278 E
Practice Address - Street 2:
Practice Address - City:HOLLY POND
Practice Address - State:AL
Practice Address - Zip Code:35083-6841
Practice Address - Country:US
Practice Address - Phone:256-796-4449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13334183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist