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General NPI Number Information
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NPI Number | 1376034934
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Entity Type | Individual
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Provider Name | MORGAN ROSE WALTERS DOCTOR OF PHARMACY
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Gender | Female
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Dates
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Enumeration Date | 05/19/2018
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 1820 S SILVERSTONE WAY SUITES 200 & 300
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City | MERIDIAN
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State | ID
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Zip | 83642
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Country | US
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Telephone | 855-745-5725
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Fax | 603-935-9108
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Provider Business Mailing Address
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Address Line | 1820 S SILVERSTONE WAY SUITES 200 & 300
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City | MERIDIAN
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State | ID
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Zip | 83642
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Country | US
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Telephone | 855-745-5725
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Fax | 603-935-9108
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P8875
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23064
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License Number State | IA
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