Healthcare Provider Details

I. General information

NPI: 1891394912
Provider Name (Legal Business Name): ROGER D MORRIS JR. PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 10/20/2020
Certification Date: 10/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W HICKORY ST
SYLACAUGA AL
35150-2913
US

IV. Provider business mailing address

315 W HICKORY ST
SYLACAUGA AL
35150-2913
US

V. Phone/Fax

Practice location:
  • Phone: 256-401-4066
  • Fax: 256-401-4099
Mailing address:
  • Phone: 256-401-4066
  • Fax: 256-401-4099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17180
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: