Provider Demographics
NPI:1568066405
Name:MORGAN, DANA (PHARM D)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 SOUTHERN ARTERY
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4610
Mailing Address - Country:US
Mailing Address - Phone:617-471-6707
Mailing Address - Fax:844-411-6195
Practice Address - Street 1:495 SOUTHERN ARTERY
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4610
Practice Address - Country:US
Practice Address - Phone:617-471-6707
Practice Address - Fax:844-411-6195
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH26725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist