Provider Demographics
NPI:1023391133
Name:MORRIS, MARY CATHERINE CALLAGHAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:CATHERINE CALLAGHAN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12811 S NORMANDY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-1422
Mailing Address - Country:US
Mailing Address - Phone:561-624-8138
Mailing Address - Fax:
Practice Address - Street 1:12811 S NORMANDY WAY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-1422
Practice Address - Country:US
Practice Address - Phone:561-624-8138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS21592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist