Provider Demographics
NPI:1518022250
Name:MURPHY'S PHARMACY INC.
Entity Type:Organization
Organization Name:MURPHY'S PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:256-796-4449
Mailing Address - Street 1:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:HOLLY POND
Mailing Address - State:AL
Mailing Address - Zip Code:35083-0427
Mailing Address - Country:US
Mailing Address - Phone:256-796-4449
Mailing Address - Fax:256-796-0599
Practice Address - Street 1:11069 US HWY 278 E
Practice Address - Street 2:
Practice Address - City:HOLLY POND
Practice Address - State:AL
Practice Address - Zip Code:35083-0427
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:2006-12-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL111926332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100003242Medicaid
AL100003242Medicaid