Healthcare Provider Details
I. General information
NPI: 1376817841
Provider Name (Legal Business Name): MORRIS CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2012
Last Update Date: 08/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
255 B EAST 165TH ST
BRONX NY
10456-6057
US
IV. Provider business mailing address
4585 TENCH RD STE 850
SUWANEE GA
30024-6741
US
V. Phone/Fax
- Phone: 678-541-0747
- Fax:
- Phone: 678-541-0747
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
HITESH
B
PATEL
Title or Position: PRESIDENT
Credential:
Phone: 732-947-1747