MEDICARE: MORGAN PHARMACY INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	002647	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1924629	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1043361025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN PHARMACY INC

Provider Business Mailing Address
First Line	:	1806 FOURTH ST
Second Line	:
City	:	JONESVILLE
State	:	LA
Zip	:	71343-2002
Country	:	US
Telephone Number	:	318-339-8532
Fax Number	:	318-339-8534

Provider Business Practice Location Address
First Line	:	1806 FOURTH ST
Second Line	:
City	:	JONESVILLE
State	:	LA
Zip	:	71343-2002
Country	:	US
Telephone Number	:	318-339-8532
Fax Number	:	318-339-8534

Authorized Official
Title or Position	:	OWNER AND MNGR
Name	:	JOHN MORGAN
Credential	:
Telephone Number	:	318-339-8532

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	08/20/2009

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Directions to “MORGAN PHARMACY INC ” Practice Location

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