Healthcare Provider Details

I. General information

NPI: 1780255372
Provider Name (Legal Business Name): HUNTER MORAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 07/06/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 FRANKLIN ST
TORONTO OH
43964-1949
US

IV. Provider business mailing address

827 COUNTY ROAD 47
TORONTO OH
43964-7895
US

V. Phone/Fax

Practice location:
  • Phone: 740-537-9425
  • Fax:
Mailing address:
  • Phone: 740-314-9924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: