MEDICARE: MR. THOMAS OSTAVUS MORRIS R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist		SC

General Provider Information

NPI Number	:	1033253950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS OSTAVUS MORRIS R.PH.

Provider Business Mailing Address
First Line	:	13 W OAKLAND ST
Second Line	:	P.O. BOX 887
City	:	ANDREWS
State	:	SC
Zip	:	29510-2527
Country	:	US
Telephone Number	:	843-264-3357
Fax Number	:	843-264-8188

Provider Business Practice Location Address
First Line	:	13 W OAKLAND ST
Second Line	:
City	:	ANDREWS
State	:	SC
Zip	:	29510-2527
Country	:	US
Telephone Number	:	843-264-3357
Fax Number	:	843-264-8188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	07/08/2007

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