MEDICARE: MORGUS 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	3336C0003X	Community/Retail Pharmacy	5301007546	MI

General Provider Information

NPI Number	:	1710015177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGUS INC

Provider Business Mailing Address
First Line	:	33250 W 12 MILE RD
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-3309
Country	:	US
Telephone Number	:	248-553-2545
Fax Number	:	248-553-2586

Provider Business Practice Location Address
First Line	:	33250 W 12 MILE RD
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-3309
Country	:	US
Telephone Number	:	248-553-2545
Fax Number	:	248-553-2586

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LAURIE BETH COHEN
Credential	:
Telephone Number	:	248-553-2545

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	10/04/2016

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