Provider Demographics
NPI:1033961586
Name:MORRISSEY, HALEY LEONE (PHARMD)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:LEONE
Last Name:MORRISSEY
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 1:3909 FARHILLS DR
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822-9305
Mailing Address - Country:US
Mailing Address - Phone:203-241-3837
Mailing Address - Fax:
Practice Address - Street 1:3909 FARHILLS DR
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822-9305
Practice Address - Country:US
Practice Address - Phone:203-241-3837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.294026183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist