Provider Demographics
NPI:1598232670
Name:MURRAY, DESIREE (PHARM D)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 E VIA PALOMA COLIPAVA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-3463
Mailing Address - Country:US
Mailing Address - Phone:520-977-0776
Mailing Address - Fax:
Practice Address - Street 1:3925 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2506
Practice Address - Country:US
Practice Address - Phone:520-327-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS023649183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty