Provider Demographics
NPI:1790211662
Name:MURPHY MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:MURPHY MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-258-2176
Mailing Address - Street 1:65 MEDICAL PLZ
Mailing Address - Street 2:
Mailing Address - City:EUPORA
Mailing Address - State:MS
Mailing Address - Zip Code:39744-4019
Mailing Address - Country:US
Mailing Address - Phone:662-258-2176
Mailing Address - Fax:
Practice Address - Street 1:200 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-9307
Practice Address - Country:US
Practice Address - Phone:662-268-4464
Practice Address - Fax:662-320-3893
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MURPHY MEDICAL SUPPLY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-11
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies