Healthcare Provider Details

I. General information

NPI: 1033344528
Provider Name (Legal Business Name): CHRISTOPHER CHANNING MORRISON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 NORTHSIDE CHEROKEE BLVD
CANTON GA
30115-8015
US

IV. Provider business mailing address

1834 ALDERBROOK RD NE
ATLANTA GA
30345-4112
US

V. Phone/Fax

Practice location:
  • Phone: 770-224-1000
  • Fax:
Mailing address:
  • Phone: 305-746-6187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH030424
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPS41330
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: