Provider Demographics
NPI:1003187519
Name:MORRIS, NORI ANN MATSUDA (RPH)
Entity Type:Individual
Prefix:
First Name:NORI
Middle Name:ANN MATSUDA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14350 W 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-1716
Mailing Address - Country:US
Mailing Address - Phone:303-941-7399
Mailing Address - Fax:303-420-2537
Practice Address - Street 1:7930 WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2110
Practice Address - Country:US
Practice Address - Phone:303-420-5619
Practice Address - Fax:303-420-2537
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO342244OtherNABP#