Healthcare Provider Details

I. General information

NPI: 1801709258
Provider Name (Legal Business Name): MICHAEL MORREN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 CONSTITUTION BLVD
KUTZTOWN PA
19530-1737
US

IV. Provider business mailing address

200 FORSYTHIA LN
ALLENTOWN PA
18104-8547
US

V. Phone/Fax

Practice location:
  • Phone: 610-683-7349
  • Fax:
Mailing address:
  • Phone: 610-442-0931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP039111L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: