Healthcare Provider Details
I. General information
NPI: 1396326211
Provider Name (Legal Business Name): DARRYL RICHARD MORRIS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/21/2021
Last Update Date: 04/21/2021
Certification Date: 04/21/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7855 MOFFETT RD
SEMMES AL
36575-5411
US
IV. Provider business mailing address
1451 SCHILLINGER RD N
SEMMES AL
36575-7405
US
V. Phone/Fax
- Phone: 251-645-8224
- Fax:
- Phone: 251-709-2150
- Fax: 251-649-4155
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | S13643 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: