Provider Demographics
NPI:1558040543
Name:MORRISON, TAKIRA NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TAKIRA
Middle Name:NICOLE
Last Name:MORRISON
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 1:2816 ERWIN RD STE 105
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4589
Mailing Address - Country:US
Mailing Address - Phone:919-282-5553
Mailing Address - Fax:
Practice Address - Street 1:116 W DEPOT ST
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-6696
Practice Address - Country:US
Practice Address - Phone:919-639-2910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist