Provider Demographics
NPI:1851469647
Name:MURVIN, THOMAS EDWARD (PHARMBS, MBA)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:EDWARD
Last Name:MURVIN
Suffix:
Gender:M
Credentials:PHARMBS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10409 CIELITO LINDO NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3835
Mailing Address - Country:US
Mailing Address - Phone:505-269-3656
Mailing Address - Fax:
Practice Address - Street 1:10409 CIELITO LINDO NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3835
Practice Address - Country:US
Practice Address - Phone:505-269-3656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRPH-4739183500000X
WY2216183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist