MEDICARE: MARTHA MORIN 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	457	IA

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

General Provider Information

NPI Number	:	1942237185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA MORIN RPH

Provider Business Mailing Address
First Line	:	PO BOX 800
Second Line	:
City	:	AKRON
State	:	IA
Zip	:	51001-0800
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	233 REED ST
Second Line	:
City	:	AKRON
State	:	IA
Zip	:	51001
Country	:	US
Telephone Number	:	712-568-2013
Fax Number	:	712-568-2711

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	07/08/2007

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Directions to “ MARTHA MORIN RPH” Practice Location

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