MEDICARE: THOMAS MORRISON

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	040857	MO

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	1609865047	OTHER	MO	AURORA PROFESSIONAL PHARMACY NPI

General Provider Information

NPI Number	:	1699111963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS MORRISON

Provider Business Mailing Address
First Line	:	124 S MADISON AVE
Second Line	:
City	:	AURORA
State	:	MO
Zip	:	65605-1427
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 S MADISON AVE
Second Line	:
City	:	AURORA
State	:	MO
Zip	:	65605-1427
Country	:	US
Telephone Number	:	417-678-4136
Fax Number	:	417-678-2014

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

Provider Enumeration Date	:	05/14/2013
Last Update Date	:	05/14/2013

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Directions to “ THOMAS MORRISON ” Practice Location

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