Healthcare Provider Details

I. General information

NPI: 1508380379
Provider Name (Legal Business Name): MORGAN RAEANN BRIAN-YORK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 N HIGHWAY 7
HOT SPRINGS VILLAGE AR
71909-9301
US

IV. Provider business mailing address

4440 N HIGHWAY 7
HOT SPRINGS VILLAGE AR
71909-9301
US

V. Phone/Fax

Practice location:
  • Phone: 501-922-0777
  • Fax: 501-922-0787
Mailing address:
  • Phone: 501-922-0777
  • Fax: 501-374-7897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberAR20009
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD14166
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: