Healthcare Provider Details

I. General information

NPI: 1083757736
Provider Name (Legal Business Name): ALLAN I. MORRIS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 JD SMITH DR
ATTALLA AL
35954-3350
US

IV. Provider business mailing address

306 W HARTWOOD DR
RAINBOW CITY AL
35906-6221
US

V. Phone/Fax

Practice location:
  • Phone: 256-538-5697
  • Fax: 256-538-0239
Mailing address:
  • Phone: 256-442-5693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6571
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: