Provider Demographics
NPI:1083757736
Name:MORRIS, ALLAN I (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:I
Last Name:MORRIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 W HARTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-6221
Mailing Address - Country:US
Mailing Address - Phone:256-442-5693
Mailing Address - Fax:
Practice Address - Street 1:102 JD SMITH DR
Practice Address - Street 2:
Practice Address - City:ATTALLA
Practice Address - State:AL
Practice Address - Zip Code:35954-3350
Practice Address - Country:US
Practice Address - Phone:256-538-5697
Practice Address - Fax:256-538-0239
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6571183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist