Provider Demographics
NPI:1508442617
Name:RENSING, MORGAN KELSEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:KELSEY
Last Name:RENSING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:KELSEY
Other - Last Name:NABORS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:229 E 50TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-2235
Mailing Address - Country:US
Mailing Address - Phone:912-777-2840
Mailing Address - Fax:
Practice Address - Street 1:229 E 50TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-2235
Practice Address - Country:US
Practice Address - Phone:912-777-2840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist