Provider Demographics
NPI:1245843283
Name:MURPHREE, JUDITH RENEE
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:RENEE
Last Name:MURPHREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 APPLE BLOSSOM CV
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-7694
Mailing Address - Country:US
Mailing Address - Phone:662-255-0704
Mailing Address - Fax:
Practice Address - Street 1:1790 W GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39042-2411
Practice Address - Country:US
Practice Address - Phone:601-825-3473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-08110183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist