Provider Demographics
NPI:1134429772
Name:MURPHY, JAMES WESLEY (PHARMD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:WESLEY
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 548
Mailing Address - Street 2:
Mailing Address - City:PINE KNOT
Mailing Address - State:KY
Mailing Address - Zip Code:42635-0548
Mailing Address - Country:US
Mailing Address - Phone:606-354-2222
Mailing Address - Fax:606-354-3830
Practice Address - Street 1:4160 S HWY 27
Practice Address - Street 2:
Practice Address - City:PINE KNOT
Practice Address - State:KY
Practice Address - Zip Code:42635
Practice Address - Country:US
Practice Address - Phone:606-354-2222
Practice Address - Fax:606-354-3830
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY015164183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist