Provider Demographics
NPI:1235739145
Name:MORRIS, VICKI LYNNE (RPH)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:LYNNE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 MARKET DR
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-1203
Mailing Address - Country:US
Mailing Address - Phone:434-336-1239
Mailing Address - Fax:434-336-0080
Practice Address - Street 1:303 MARKET DR
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-1203
Practice Address - Country:US
Practice Address - Phone:434-336-1239
Practice Address - Fax:434-336-0080
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist