Provider Demographics
NPI:1467855387
Name:MURRAY, ANDREA (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8640 GUILFORD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2655
Mailing Address - Country:US
Mailing Address - Phone:410-381-6466
Mailing Address - Fax:410-309-5761
Practice Address - Street 1:8640 GUILFORD RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2655
Practice Address - Country:US
Practice Address - Phone:410-381-6466
Practice Address - Fax:410-309-5761
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22768183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist