Provider Demographics
NPI:1396405270
Name:MORALES, ANTHONY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 6567
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:PR
Mailing Address - Zip Code:00677-9090
Mailing Address - Country:US
Mailing Address - Phone:787-310-6752
Mailing Address - Fax:
Practice Address - Street 1:BO CRUCES
Practice Address - Street 2:CARR 414 KM 3.5
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:787-310-6752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist