Provider Demographics
NPI:1497053961
Name:MORRIS, MARILYN HORTON (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:HORTON
Last Name:MORRIS
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 1:838 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-3388
Mailing Address - Country:US
Mailing Address - Phone:336-996-6075
Mailing Address - Fax:336-996-5786
Practice Address - Street 1:838 S MAIN ST
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-3388
Practice Address - Country:US
Practice Address - Phone:336-996-6075
Practice Address - Fax:336-996-5786
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist