Provider Demographics
NPI:1467784678
Name:MORS, DONNA M (PHARM D)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:MORS
Suffix:
Gender:F
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 1:7100 W HIGHWAY 98
Mailing Address - Street 2:KMART PHARMACY
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-4801
Mailing Address - Country:US
Mailing Address - Phone:850-234-6242
Mailing Address - Fax:850-234-9352
Practice Address - Street 1:7100 W HIGHWAY 98
Practice Address - Street 2:KMART PHARMACY
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-4801
Practice Address - Country:US
Practice Address - Phone:850-234-6242
Practice Address - Fax:850-234-9352
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36696183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist