MEDICARE: DR. GREGORY MORRILL PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	8352	AZ

General Provider Information

NPI Number	:	1770856361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY MORRILL PHARMD

Provider Business Mailing Address
First Line	:	6242 W KENT DR
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85226-1170
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4801 E WASHINGTON ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-2004
Country	:	US
Telephone Number	:	804-934-7779
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2012
Last Update Date	:	02/14/2012

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