Provider Demographics
NPI:1699533141
Name:MURCH, PHILLIP KEVIN JR (PHARMD)
Entity type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:KEVIN
Last Name:MURCH
Suffix:JR
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 1:10272 SW 33RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3804
Mailing Address - Country:US
Mailing Address - Phone:786-503-3358
Mailing Address - Fax:
Practice Address - Street 1:24799 SW 112TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7100
Practice Address - Country:US
Practice Address - Phone:305-257-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63120183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist