Healthcare Provider Details

I. General information

NPI: 1639157589
Provider Name (Legal Business Name): WILLIAM ALEXANDER MORTON JR. PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

Provider Other Name: ALEX MORTON PHARM.D.

II. Dates (important events)

Enumeration Date: 01/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 CALHOUN ST
CHARLESTON SC
29425-8906
US

IV. Provider business mailing address

1123 MORNING GLORY CT
MOUNT PLEASANT SC
29464-9007
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-7480
  • Fax:
Mailing address:
  • Phone: 843-881-1595
  • Fax: 843-881-6097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number4919
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number5944
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number30133
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: