Provider Demographics
NPI:1265724819
Name:MURRAY, GENE JOSEPH (RPH)
Entity type:Individual
Prefix:
First Name:GENE
Middle Name:JOSEPH
Last Name:MURRAY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 PUBLIC RD
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43971-1248
Mailing Address - Country:US
Mailing Address - Phone:740-859-2449
Mailing Address - Fax:740-859-0039
Practice Address - Street 1:400 PUBLIC RD
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:OH
Practice Address - Zip Code:43971-1248
Practice Address - Country:US
Practice Address - Phone:740-859-2449
Practice Address - Fax:740-859-0039
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03110802183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist