Provider Demographics
NPI:1407538549
Name:WELDEN, MORGAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:WELDEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16074 HIGHWAY 136 E
Mailing Address - Street 2:
Mailing Address - City:ROBARDS
Mailing Address - State:KY
Mailing Address - Zip Code:42452-9323
Mailing Address - Country:US
Mailing Address - Phone:270-285-2952
Mailing Address - Fax:
Practice Address - Street 1:1200 BARRET BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-4950
Practice Address - Country:US
Practice Address - Phone:270-844-8603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY023715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist