Provider Demographics
NPI:1154925881
Name:ROCHE, ELIZABETH MURPHY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MURPHY
Last Name:ROCHE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1117
Mailing Address - Country:US
Mailing Address - Phone:617-347-7193
Mailing Address - Fax:
Practice Address - Street 1:1815 MIDDLESEX ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-1190
Practice Address - Country:US
Practice Address - Phone:978-458-4621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH239297183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist