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NPI Code Detail

MEDICARE: DR. CAROL A MORREALE PHARMD, BCPS, CGP

MEDICARE: DR. CAROL A MORREALE PHARMD, BCPS, CGP
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistP11981MS

General Provider Information

NPI Number : 1952378242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL A MORREALE PHARMD, BCPS, CGP
Provider Business Mailing Address
First Line : 125 HUNTINGTON DR
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-8080
Country : US
Telephone Number : 304-382-3916
Fax Number :
Provider Business Practice Location Address
First Line : 130 HIGHLAND PKWY
Second Line : DEPARTMENT OF PHARMACY
City : PICAYUNE
State : MS
Zip : 39466-5574
Country : US
Telephone Number : 601-358-9701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2006
Last Update Date : 02/15/2013

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