Provider Demographics
NPI:1861731911
Name:SMITH, MURRY LEE ALEXANDER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MURRY
Middle Name:LEE ALEXANDER
Last Name:SMITH
Suffix:
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 1:4351 S HWY 27
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-5349
Mailing Address - Country:US
Mailing Address - Phone:352-394-2915
Mailing Address - Fax:
Practice Address - Street 1:4351 S HWY 27
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5349
Practice Address - Country:US
Practice Address - Phone:352-394-2915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-10
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY020491183500000X
MSE-12309183500000X
TN0000036367183500000X
FLPS59929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist