Provider Demographics
NPI:1396807079
Name:MURPHYS PHARMACY, INC.
Entity type:Organization
Organization Name:MURPHYS PHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:CLAYTON
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:209-728-3472
Mailing Address - Street 1:PO BOX 930
Mailing Address - Street 2:
Mailing Address - City:MURPHYS
Mailing Address - State:CA
Mailing Address - Zip Code:95247-0930
Mailing Address - Country:US
Mailing Address - Phone:209-728-3472
Mailing Address - Fax:209-728-3478
Practice Address - Street 1:88 W HIGHWAY 4
Practice Address - Street 2:SUITE 2
Practice Address - City:MURPHYS
Practice Address - State:CA
Practice Address - Zip Code:95247-9494
Practice Address - Country:US
Practice Address - Phone:209-728-3472
Practice Address - Fax:209-728-3478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY376623336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA376620Medicaid