Provider Demographics
NPI:1235724287
Name:MURPH, SHELDON HILEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHELDON
Middle Name:HILEY
Last Name:MURPH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 PINE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-7561
Mailing Address - Country:US
Mailing Address - Phone:478-745-0476
Mailing Address - Fax:
Practice Address - Street 1:770 PINE ST STE 100
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-7561
Practice Address - Country:US
Practice Address - Phone:478-745-0476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH030697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist