Provider Demographics
NPI:1073638730
Name:MORTON, NATALIE R (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:R
Last Name:MORTON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8841 PROVIDENCE RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-2172
Mailing Address - Country:US
Mailing Address - Phone:804-232-4001
Mailing Address - Fax:
Practice Address - Street 1:8841 PROVIDENCE RIDGE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23236-2172
Practice Address - Country:US
Practice Address - Phone:804-389-5871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207081183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist