Provider Demographics
NPI:1972888048
Name:MURRAY, JAMIE (PHARM D)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 MILTON AVE
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-0884
Mailing Address - Country:US
Mailing Address - Phone:608-754-2278
Mailing Address - Fax:608-754-3216
Practice Address - Street 1:1717 MILTON AVE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-0884
Practice Address - Country:US
Practice Address - Phone:608-754-2278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15473-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist