MEDICARE: MR. DAVID CHARLES MORGAN 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	17082	MA

General Provider Information

NPI Number	:	1811099641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID CHARLES MORGAN RPH

Provider Business Mailing Address
First Line	:	40 TOMMY MARKS WAY
Second Line	:
City	:	SOUTH WEYMOUTH
State	:	MA
Zip	:	02190-1114
Country	:	US
Telephone Number	:	781-331-0180
Fax Number	:	781-335-6565

Provider Business Practice Location Address
First Line	:	40 TOMMY MARKS WAY
Second Line	:
City	:	SOUTH WEYMOUTH
State	:	MA
Zip	:	02190-1114
Country	:	US
Telephone Number	:	781-331-0180
Fax Number	:	781-335-6565

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

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	07/08/2007

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