Provider Demographics
NPI:1760776652
Name:MURPHY, MICHELE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 AMBIANCE BLVD
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8892
Mailing Address - Country:US
Mailing Address - Phone:732-625-0616
Mailing Address - Fax:
Practice Address - Street 1:209 STAFFORD PARK BLVD
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2734
Practice Address - Country:US
Practice Address - Phone:609-978-4923
Practice Address - Fax:609-978-5854
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02152000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist