Provider Demographics
NPI:1598428609
Name:GEISSLER, MORGAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:GEISSLER
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 1:828 N BROADWAY APT 328
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2769
Mailing Address - Country:US
Mailing Address - Phone:618-521-4698
Mailing Address - Fax:
Practice Address - Street 1:4351 E 104TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-4451
Practice Address - Country:US
Practice Address - Phone:303-501-1725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0023807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist