Healthcare Provider Details

I. General information

NPI: 1609982859
Provider Name (Legal Business Name): TIMOTHY C. MORGAN RPH,PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 03/23/2024
Certification Date: 03/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 LEBANON RD
MURFREESBORO TN
37129-1237
US

IV. Provider business mailing address

1607 FAIRHAVEN LN
MURFREESBORO TN
37128-4698
US

V. Phone/Fax

Practice location:
  • Phone: 615-893-1360
  • Fax:
Mailing address:
  • Phone: 615-796-4389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number9520
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number9520
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: