Provider Demographics
NPI:1780279174
Name:MURPHREE, PAUL STEPHEN (RPH)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:STEPHEN
Last Name:MURPHREE
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 1:1941 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-2060
Mailing Address - Country:US
Mailing Address - Phone:256-582-3661
Mailing Address - Fax:
Practice Address - Street 1:1941 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-2060
Practice Address - Country:US
Practice Address - Phone:256-582-3661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7993183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100002950Medicaid