Healthcare Provider Details

I. General information

NPI: 1740105402
Provider Name (Legal Business Name): JENNIFER MORGA MPHARMS, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WITHERELL ST APT 3101
DETROIT MI
48226-1689
US

IV. Provider business mailing address

10 WITHERELL ST APT 3101
DETROIT MI
48226-1689
US

V. Phone/Fax

Practice location:
  • Phone: 519-816-7974
  • Fax:
Mailing address:
  • Phone: 519-816-7974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302042317
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: