Healthcare Provider Details

I. General information

NPI: 1073499224
Provider Name (Legal Business Name): MORGAN T QUINN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 SANTA ROSA DR STE D
KINGMAN AZ
86401-2311
US

IV. Provider business mailing address

3590 E ANGELINA DR
KINGMAN AZ
86409-2679
US

V. Phone/Fax

Practice location:
  • Phone: 928-681-8738
  • Fax:
Mailing address:
  • Phone: 248-807-1681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberS027538
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: