MEDICARE: SHEILA MORRIS PHARMACIST

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	PS35144	FL

General Provider Information

NPI Number	:	1881914299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA MORRIS PHARMACIST

Provider Business Mailing Address
First Line	:	7685 103RD ST
Second Line	:	SUITE 4
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-9325
Country	:	US
Telephone Number	:	904-894-1166
Fax Number	:	904-328-3794

Provider Business Practice Location Address
First Line	:	7685 103RD ST
Second Line	:	SUITE 4
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-9325
Country	:	US
Telephone Number	:	904-894-1166
Fax Number	:	904-328-3794

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

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	06/08/2010

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