Provider Demographics
NPI:1558524934
Name:MORRISON, DINA MARLENE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DINA
Middle Name:MARLENE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10635 GREEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43727-9622
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 FOREST AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2821
Practice Address - Country:US
Practice Address - Phone:740-454-5485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-19389183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist