Healthcare Provider Details

I. General information

NPI: 1831938265
Provider Name (Legal Business Name): ERIN KAY MORRIS CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2024
Last Update Date: 05/24/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 W SUNSHINE ST
SPRINGFIELD MO
65807-0906
US

IV. Provider business mailing address

3520 W SUNSHINE ST
SPRINGFIELD MO
65807-0906
US

V. Phone/Fax

Practice location:
  • Phone: 417-864-8006
  • Fax:
Mailing address:
  • Phone: 417-864-8006
  • Fax: 417-864-2844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number2008012384
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: