Provider Demographics
NPI:1154099430
Name:MORRISON, BROOKE MARLOWE (PHARMD, CDCES)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:MARLOWE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PHARMD, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2348 VISTA CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-9252
Mailing Address - Country:US
Mailing Address - Phone:740-975-9598
Mailing Address - Fax:
Practice Address - Street 1:88 MCMILLEN DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-1809
Practice Address - Country:US
Practice Address - Phone:220-564-1898
Practice Address - Fax:220-564-1899
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1110798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist