Provider Demographics
NPI:1275872087
Name:MURPHY, BETHANY LANCE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:LANCE
Last Name:MURPHY
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 1:1050 UNION UNIVERSITY DRIVE
Mailing Address - Street 2:UNION UNIVERSITY SCHOOL OF PHARMACY
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305
Mailing Address - Country:US
Mailing Address - Phone:731-661-5641
Mailing Address - Fax:
Practice Address - Street 1:2863 HWY 45 BYPASS
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305
Practice Address - Country:US
Practice Address - Phone:731-661-5641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN36178183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist