Healthcare Provider Details

I. General information

NPI: 1992258404
Provider Name (Legal Business Name): SHURRIE MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 08/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 E ROWAN AVE
SPOKANE WA
99207-1232
US

IV. Provider business mailing address

1011 E ILLINOIS AVE
SPOKANE WA
99207-2640
US

V. Phone/Fax

Practice location:
  • Phone: 509-482-3057
  • Fax:
Mailing address:
  • Phone: 509-280-7859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPH60552165
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH60552165
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: