Provider Demographics
NPI:1003576984
Name:SCOTT, STEPHAN MORGAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEPHAN
Middle Name:MORGAN
Last Name:SCOTT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3460 MANOR LN APT 316
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5618
Mailing Address - Country:US
Mailing Address - Phone:205-356-4092
Mailing Address - Fax:
Practice Address - Street 1:24724 US HIGHWAY 31
Practice Address - Street 2:
Practice Address - City:JEMISON
Practice Address - State:AL
Practice Address - Zip Code:35085-4428
Practice Address - Country:US
Practice Address - Phone:205-688-2032
Practice Address - Fax:205-688-2081
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20692183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist