Provider Demographics
NPI:1497822761
Name:MURPHARM INC
Entity Type:Organization
Organization Name:MURPHARM INC
Other - Org Name:SHOP-N-SAVE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:231-882-0254
Mailing Address - Street 1:PO BOX 59
Mailing Address - Street 2:
Mailing Address - City:BENZONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49616-0059
Mailing Address - Country:US
Mailing Address - Phone:231-882-0254
Mailing Address - Fax:231-882-0366
Practice Address - Street 1:1747 BENZIE HWY
Practice Address - Street 2:
Practice Address - City:BENZONIA
Practice Address - State:MI
Practice Address - Zip Code:49616-8600
Practice Address - Country:US
Practice Address - Phone:231-882-0254
Practice Address - Fax:231-882-0366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010091403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2365129OtherNCPDP PROVIDER IDENTIFICATION NUMBER