Provider Demographics
NPI:1750630968
Name:MCMURRAY, KEVIN PETER (RPH)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:PETER
Last Name:MCMURRAY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 JOHN FITCH HWY
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-8404
Mailing Address - Country:US
Mailing Address - Phone:978-343-8329
Mailing Address - Fax:
Practice Address - Street 1:571 JOHN FITCH HWY
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-8404
Practice Address - Country:US
Practice Address - Phone:978-343-8329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist