Provider Demographics
NPI:1497196893
Name:MURPHY, DIXIE ANNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DIXIE
Middle Name:ANNE
Last Name:MURPHY
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 1:4432 HENDRICKS AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-6326
Mailing Address - Country:US
Mailing Address - Phone:904-423-1023
Mailing Address - Fax:904-379-6446
Practice Address - Street 1:4432 HENDRICKS AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-6326
Practice Address - Country:US
Practice Address - Phone:904-423-1023
Practice Address - Fax:904-379-6446
Is Sole Proprietor?:No
Enumeration Date:2013-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS30819183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist