Provider Demographics
NPI:1972829927
Name:MURRAY, JOHN EDWARDS (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:EDWARDS
Last Name:MURRAY
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 1:605 CHESTNUT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-8269
Mailing Address - Country:US
Mailing Address - Phone:828-262-1753
Mailing Address - Fax:
Practice Address - Street 1:2174 BLOWING ROCK RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-6154
Practice Address - Country:US
Practice Address - Phone:828-268-0727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202004712183500000X
NC15234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist