Provider Demographics
NPI:1376034934
Name:WALTERS, MORGAN ROSE (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ROSE
Last Name:WALTERS
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
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Mailing Address - Street 1:1820 S SILVERSTONE WAY
Mailing Address - Street 2:SUITES 200 & 300
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642
Mailing Address - Country:US
Mailing Address - Phone:855-745-5725
Mailing Address - Fax:603-935-9108
Practice Address - Street 1:1820 S SILVERSTONE WAY
Practice Address - Street 2:SUITES 200 & 300
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642
Practice Address - Country:US
Practice Address - Phone:855-745-5725
Practice Address - Fax:603-935-9108
Is Sole Proprietor?:No
Enumeration Date:2018-05-19
Last Update Date:2022-09-28
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Provider Licenses
StateLicense IDTaxonomies
IDP8875183500000X
IA23064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist