Provider Demographics
NPI:1528393212
Name:MORSE, BENFORD EVANS JR (PHARMD)
Entity Type:Individual
Prefix:
First Name:BENFORD
Middle Name:EVANS
Last Name:MORSE
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 N SANDHILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NC
Mailing Address - Zip Code:28315-2338
Mailing Address - Country:US
Mailing Address - Phone:910-944-1502
Mailing Address - Fax:910-944-1641
Practice Address - Street 1:1706 N SANDHILLS BLVD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2338
Practice Address - Country:US
Practice Address - Phone:910-944-1502
Practice Address - Fax:910-944-1641
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist