Provider Demographics
NPI:1598897985
Name:MURPHY DRUG COMPANY
Entity Type:Organization
Organization Name:MURPHY DRUG COMPANY
Other - Org Name:MURPHY DRUGS AND GIFTS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER PRESIDENT PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:662-258-2631
Mailing Address - Street 1:406 VETERANS MEMORIAL BLVD S
Mailing Address - Street 2:
Mailing Address - City:EUPORA
Mailing Address - State:MS
Mailing Address - Zip Code:39744-2213
Mailing Address - Country:US
Mailing Address - Phone:662-258-2631
Mailing Address - Fax:662-258-3868
Practice Address - Street 1:406 VETERANS MEMORIAL BLVD S
Practice Address - Street 2:
Practice Address - City:EUPORA
Practice Address - State:MS
Practice Address - Zip Code:39744-2213
Practice Address - Country:US
Practice Address - Phone:662-258-2631
Practice Address - Fax:662-258-3868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS00093866332B00000X
MS0469230001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0093866Medicaid
MS0469230001Medicare ID - Type Unspecified