Provider Demographics
NPI:1639157589
Name:MORTON, WILLIAM ALEXANDER JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALEXANDER
Last Name:MORTON
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:MORTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1123 MORNING GLORY CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-9007
Mailing Address - Country:US
Mailing Address - Phone:843-881-1595
Mailing Address - Fax:843-881-6097
Practice Address - Street 1:280 CALHOUN ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8906
Practice Address - Country:US
Practice Address - Phone:843-792-7480
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC49191835P1300X
NC59441835P1300X
CA301331835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric