Provider Demographics
NPI:1467653436
Name:MURACH, DENISE A (RPH,CDM)
Entity Type:Individual
Prefix:MISS
First Name:DENISE
Middle Name:A
Last Name:MURACH
Suffix:
Gender:F
Credentials:RPH,CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2161 76TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1511
Mailing Address - Country:US
Mailing Address - Phone:718-837-1360
Mailing Address - Fax:718-837-1360
Practice Address - Street 1:2221 65 STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4001
Practice Address - Country:US
Practice Address - Phone:718-259-9384
Practice Address - Fax:718-234-6748
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042632183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist