Provider Demographics
NPI:1437586955
Name:MURRAY, LAURIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:MURRAY
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:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:HEPPNER
Mailing Address - State:OR
Mailing Address - Zip Code:97836-0427
Mailing Address - Country:US
Mailing Address - Phone:541-676-9158
Mailing Address - Fax:541-676-5015
Practice Address - Street 1:217 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HEPPNER
Practice Address - State:OR
Practice Address - Zip Code:97836-2035
Practice Address - Country:US
Practice Address - Phone:541-676-9158
Practice Address - Fax:541-676-5015
Is Sole Proprietor?:No
Enumeration Date:2013-09-29
Last Update Date:2013-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0013810183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist