MEDICARE: MR. DAVID JOHN MORGAN SR. 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	5536	AZ

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

General Provider Information

NPI Number	:	1598712887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID JOHN MORGAN SR. RPH

Provider Business Mailing Address
First Line	:	5584 S WISHING WELL DR
Second Line	:
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-8850
Country	:	US
Telephone Number	:	928-208-2380
Fax Number	:

Provider Business Practice Location Address
First Line	:	5584 S WISHING WELL DR
Second Line	:
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-8850
Country	:	US
Telephone Number	:	928-208-2380
Fax Number	:

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	04/18/2012

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