Provider Demographics
NPI:1598926016
Name:MORRISON, KATHRYN LYNN (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:LYNN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JEWETT CITY
Mailing Address - State:CT
Mailing Address - Zip Code:06351-2203
Mailing Address - Country:US
Mailing Address - Phone:860-376-1206
Mailing Address - Fax:860-376-1246
Practice Address - Street 1:27 MAIN ST
Practice Address - Street 2:
Practice Address - City:JEWETT CITY
Practice Address - State:CT
Practice Address - Zip Code:06351-2203
Practice Address - Country:US
Practice Address - Phone:860-376-1206
Practice Address - Fax:860-376-1246
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI4215183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist