Provider Demographics
NPI:1053603050
Name:MURRAY, AMY REBECCA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:REBECCA
Last Name:MURRAY
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 1:2120 E FIRE TOWER RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-8013
Mailing Address - Country:US
Mailing Address - Phone:252-355-3083
Mailing Address - Fax:252-355-5722
Practice Address - Street 1:2120 E FIRE TOWER RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-8013
Practice Address - Country:US
Practice Address - Phone:252-355-3083
Practice Address - Fax:252-355-5722
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20308183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0745994Medicaid
1226450095Medicare NSC