Provider Demographics
NPI:1477849719
Name:VALUMED PHARMACY LLC
Entity Type:Organization
Organization Name:VALUMED PHARMACY LLC
Other - Org Name:MURPHY'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:256-796-4449
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:EVA
Mailing Address - State:AL
Mailing Address - Zip Code:35621-0129
Mailing Address - Country:US
Mailing Address - Phone:256-796-7131
Mailing Address - Fax:256-796-0316
Practice Address - Street 1:11069 US HIGHWAY 278 E
Practice Address - Street 2:
Practice Address - City:HOLLY POND
Practice Address - State:AL
Practice Address - Zip Code:35083-6841
Practice Address - Country:US
Practice Address - Phone:256-796-4449
Practice Address - Fax:256-796-0599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
AL1119263336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2130915OtherPK