Provider Demographics
NPI:1427358456
Name:ALCON, MORGAN K (RPH)
Entity Type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:K
Last Name:ALCON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1017 N MARKET PLZ
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-1530
Mailing Address - Country:US
Mailing Address - Phone:719-547-2913
Mailing Address - Fax:719-547-2508
Practice Address - Street 1:1017 N MARKET PLZ
Practice Address - Street 2:
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-1530
Practice Address - Country:US
Practice Address - Phone:719-547-2913
Practice Address - Fax:719-547-2508
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist