Provider Demographics
NPI:1326292004
Name:SHARON MURPHY
Entity Type:Organization
Organization Name:SHARON MURPHY
Other - Org Name:TRUST MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-829-9014
Mailing Address - Street 1:210 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE PROVIDENCE
Mailing Address - State:LA
Mailing Address - Zip Code:71254-2628
Mailing Address - Country:US
Mailing Address - Phone:318-559-0951
Mailing Address - Fax:318-559-0953
Practice Address - Street 1:210 LAKE ST
Practice Address - Street 2:
Practice Address - City:LAKE PROVIDENCE
Practice Address - State:LA
Practice Address - Zip Code:71254-2628
Practice Address - Country:US
Practice Address - Phone:318-559-0951
Practice Address - Fax:318-559-0953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-08
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1922706Medicaid
LA6192200001Medicare NSC