MEDICARE: DR. MARY MORGAN PHARMD

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	39312	TN

General Provider Information

NPI Number	:	1366827263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY MORGAN PHARMD

Provider Business Mailing Address
First Line	:	1710 SHELBY OAKS DR N STE 1
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38134-7403
Country	:	US
Telephone Number	:	901-201-5470
Fax Number	:

Provider Business Practice Location Address
First Line	:	1710 SHELBY OAKS DR N STE 1
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38134-7403
Country	:	US
Telephone Number	:	901-201-5470
Fax Number	:

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

Provider Enumeration Date	:	07/21/2015
Last Update Date	:	10/24/2023

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