Healthcare Provider Details

I. General information

NPI: 1003817800
Provider Name (Legal Business Name): WILLIAM PERKINS MORRIS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 SOUTHGATE SHOPPING CTR
CULPEPER VA
22701-3833
US

IV. Provider business mailing address

9027 OLD RAPIDAN RD P.O. BOX 1128
ORANGE VA
22960-4630
US

V. Phone/Fax

Practice location:
  • Phone: 540-825-7576
  • Fax: 540-825-5822
Mailing address:
  • Phone: 540-825-7576
  • Fax: 540-825-5822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202006074
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: