Healthcare Provider Details

I. General information

NPI: 1679907232
Provider Name (Legal Business Name): PATRICIA ANN MORRIS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2013
Last Update Date: 08/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-0408
  • Fax: 513-584-0498
Mailing address:
  • Phone: 513-584-0408
  • Fax: 513-584-0498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03223635
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: