Healthcare Provider Details

I. General information

NPI: 1720378920
Provider Name (Legal Business Name): VICTORIA A MORRO RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2011
Last Update Date: 04/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

677 MAIN RD
TIVERTON RI
02878-1352
US

IV. Provider business mailing address

677 MAIN RD
TIVERTON RI
02878-1352
US

V. Phone/Fax

Practice location:
  • Phone: 401-624-8411
  • Fax: 401-625-1281
Mailing address:
  • Phone: 401-624-8411
  • Fax: 401-625-1281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3080
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19368
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: