Healthcare Provider Details

I. General information

NPI: 1295058121
Provider Name (Legal Business Name): JOSHUA L MORRISON PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2010
Last Update Date: 11/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2791 DAKOTA AVE S
HURON SD
57350-4411
US

IV. Provider business mailing address

2791 DAKOTA AVE S
HURON SD
57350-4411
US

V. Phone/Fax

Practice location:
  • Phone: 605-353-9513
  • Fax: 605-353-9515
Mailing address:
  • Phone: 605-353-9513
  • Fax: 605-353-9515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5194
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: