Provider Demographics
NPI:1023331105
Name:MURPHY, ALYSSA MEGAN (PHARMD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MEGAN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:RELES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:723 CANTON STREET
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:13669
Mailing Address - Country:US
Mailing Address - Phone:315-393-9212
Mailing Address - Fax:315-393-9218
Practice Address - Street 1:723 CANTON STREET
Practice Address - Street 2:
Practice Address - City:OGDENSBURY
Practice Address - State:NY
Practice Address - Zip Code:13669
Practice Address - Country:US
Practice Address - Phone:315-393-9212
Practice Address - Fax:315-393-9218
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY53628183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist