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NPI Code Detail

MEDICARE: MR. ALAN GENE MORRIS R.PH.

MEDICARE: MR. ALAN GENE MORRIS R.PH.
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
1183500000XPharmacist051029013IL

General Provider Information

NPI Number : 1801818380
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALAN GENE MORRIS R.PH.
Provider Business Mailing Address
First Line : 8515 E PARK STREET RD
Second Line :
City : DU QUOIN
State : IL
Zip : 62832-3723
Country : US
Telephone Number : 618-542-4252
Fax Number :
Provider Business Practice Location Address
First Line : 900 N WASHINGTON ST
Second Line :
City : DU QUOIN
State : IL
Zip : 62832-1230
Country : US
Telephone Number : 618-542-2146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 10/27/2008

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