Provider Demographics
NPI:1053519355
Name:MURPHY, JACQUELINE M (RPH)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LONG WHARF DR
Mailing Address - Street 2:HANCOCK PHARMACY AT LONG WHARF
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5991
Mailing Address - Country:US
Mailing Address - Phone:203-787-9908
Mailing Address - Fax:203-776-0240
Practice Address - Street 1:1 LONG WHARF DR
Practice Address - Street 2:HANCOCK PHARMACY AT LONG WHARF
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5991
Practice Address - Country:US
Practice Address - Phone:203-787-9908
Practice Address - Fax:203-776-0240
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-07
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5540183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist