Provider Demographics
NPI:1376111419
Name:MORRISSEY, WILLIAM ARNOLD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ARNOLD
Last Name:MORRISSEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:A
Other - Last Name:MORRISSEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:700 N PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-4373
Mailing Address - Country:US
Mailing Address - Phone:573-442-0194
Mailing Address - Fax:
Practice Address - Street 1:700 N PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-4373
Practice Address - Country:US
Practice Address - Phone:573-442-0194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO044504183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist