Healthcare Provider Details

I. General information

NPI: 1164628996
Provider Name (Legal Business Name): MORAL OF PICKENS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 03/04/2022
Certification Date: 03/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W CEDAR ROCK ST
PICKENS SC
29671-2451
US

IV. Provider business mailing address

PO BOX 66
PICKENS SC
29671-0066
US

V. Phone/Fax

Practice location:
  • Phone: 864-878-6357
  • Fax: 864-878-6301
Mailing address:
  • Phone: 864-878-6357
  • Fax: 864-878-6301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number50001047
License Number StateSC

VIII. Authorized Official

Name: DR. TODD ALLEN MORRIS
Title or Position: OWNER, PHARMACIST IN CHARGE
Credential: PHARMD
Phone: 864-878-6357