Provider Demographics
NPI:1689898199
Name:MORTON, MARIAN KRISTINA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARIAN
Middle Name:KRISTINA
Last Name:MORTON
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 1:510 SYCAMORE TERRACE
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077
Mailing Address - Country:US
Mailing Address - Phone:856-829-8137
Mailing Address - Fax:
Practice Address - Street 1:1201 HADDON AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-3105
Practice Address - Country:US
Practice Address - Phone:856-963-4742
Practice Address - Fax:856-541-8580
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02667500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist