Provider Demographics
NPI:1316182611
Name:MORRIS, TANYA (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 LAUREL WOODS RD
Mailing Address - Street 2:
Mailing Address - City:LANDENBERG
Mailing Address - State:PA
Mailing Address - Zip Code:19350-1371
Mailing Address - Country:US
Mailing Address - Phone:610-274-3072
Mailing Address - Fax:302-477-5190
Practice Address - Street 1:3301 CONCORD PIKE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-5034
Practice Address - Country:US
Practice Address - Phone:302-475-6572
Practice Address - Fax:302-477-5190
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-OOO2558183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist