Provider Demographics
NPI:1932703105
Name:MURRAY, STEPHENIE DUFFY (PHARMD)
Entity Type:Individual
Prefix:
First Name:STEPHENIE
Middle Name:DUFFY
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:STEPHENIE
Other - Middle Name:DUFFY
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:972 E LITTLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-3843
Mailing Address - Country:US
Mailing Address - Phone:757-480-2704
Mailing Address - Fax:757-480-2709
Practice Address - Street 1:972 E LITTLE CREEK RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-3843
Practice Address - Country:US
Practice Address - Phone:757-480-2704
Practice Address - Fax:757-490-2709
Is Sole Proprietor?:No
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202213171183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202213171OtherPHARMACIST LICENSE NUMBER