Provider Demographics
NPI:1376842716
Name:MURANO, LOUIS RICHARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:RICHARD
Last Name:MURANO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 EAST ROOSEVELT BLVD
Mailing Address - Street 2:CVS
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112
Mailing Address - Country:US
Mailing Address - Phone:704-289-8513
Mailing Address - Fax:704-283-4325
Practice Address - Street 1:625 EAST ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112
Practice Address - Country:US
Practice Address - Phone:704-289-8513
Practice Address - Fax:704-283-4325
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist