Provider Demographics
NPI:1710004833
Name:MORLEY, ANN M (PHARMCIST)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:MORLEY
Suffix:
Gender:F
Credentials:PHARMCIST
Other - Prefix:MS
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:MORLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:108 MASTERS ST
Mailing Address - Street 2:
Mailing Address - City:RADCLIFF
Mailing Address - State:KY
Mailing Address - Zip Code:40160-9249
Mailing Address - Country:US
Mailing Address - Phone:270-351-5217
Mailing Address - Fax:
Practice Address - Street 1:851 IRELAND AVE
Practice Address - Street 2:IRELAND ARMY COMMUNITY HOSPITAL-PHARMACY
Practice Address - City:FORT KNOX
Practice Address - State:KY
Practice Address - Zip Code:40121-2722
Practice Address - Country:US
Practice Address - Phone:502-624-9731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist