Provider Demographics
NPI:1508380379
Name:BRIAN-YORK, MORGAN RAEANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:RAEANN
Last Name:BRIAN-YORK
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 1:4440 N HIGHWAY 7
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-9301
Mailing Address - Country:US
Mailing Address - Phone:501-922-0777
Mailing Address - Fax:501-374-7897
Practice Address - Street 1:4440 N HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-9301
Practice Address - Country:US
Practice Address - Phone:501-922-0777
Practice Address - Fax:501-922-0787
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR20009183500000X
ARPD14166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist