MEDICARE: RONNIE M MORRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	AR12320	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1994225	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699866178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONNIE M MORRIS

Provider Business Mailing Address
First Line	:	116 S MAIN ST
Second Line	:
City	:	NASHVILLE
State	:	AR
Zip	:	71852-2406
Country	:	US
Telephone Number	:	870-845-1565
Fax Number	:	870-845-1564

Provider Business Practice Location Address
First Line	:	116 S MAIN ST
Second Line	:
City	:	NASHVILLE
State	:	AR
Zip	:	71852-2406
Country	:	US
Telephone Number	:	870-845-1565
Fax Number	:	870-845-1564

Authorized Official
Title or Position	:	OWNER AND CHIEF PHARMACIST
Name	:	RONALD MORRIS
Credential	:
Telephone Number	:	870-845-1565

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	09/19/2025

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