Healthcare Provider Details
I. General information
NPI: 1457882979
Provider Name (Legal Business Name): MORGAN WHITE GARRICK PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/26/2017
Last Update Date: 03/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2200 S MCKENZIE ST
FOLEY AL
36535-1701
US
IV. Provider business mailing address
2200 S MCKENZIE ST
FOLEY AL
36535-1701
US
V. Phone/Fax
- Phone: 251-943-3320
- Fax: 251-943-3327
- Phone: 251-943-3320
- Fax: 251-943-3327
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 17268 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: