Organization
AXUM MEDICAL SUPPLIES LLC.
Active
Other names
Axum Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MURPHY (OWNER/AO)
(504) 390-2564
Entity
Organization
Contact information
Practice address
721 W 5TH ST, LA PLACE, LA 70068-5504
(985) 359-5251
(985) 359-5252
Mailing address
31 TURNBERRY DR, LA PLACE, LA 70068-1617
(504) 390-2564
(985) 359-5252
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY007408IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165794
PK
—
05
—
2205285
—
LA
Enumeration date
10/25/2016
Last updated
09/19/2025
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