MEDICARE: JOSEPH MORTON RPH

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	PS22188	FL

General Provider Information

NPI Number	:	1407247992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH MORTON RPH

Provider Business Mailing Address
First Line	:	1360 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-5657
Country	:	US
Telephone Number	:	727-787-3925
Fax Number	:

Provider Business Practice Location Address
First Line	:	1360 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-5657
Country	:	US
Telephone Number	:	727-787-3925
Fax Number	:

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

Provider Enumeration Date	:	02/05/2015
Last Update Date	:	02/05/2015

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