Provider Demographics
NPI:1730482134
Name:MORISI, KRISTI (RPH)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:MORISI
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 1:10100 TOUCHWOOD PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6114
Mailing Address - Country:US
Mailing Address - Phone:919-844-6401
Mailing Address - Fax:
Practice Address - Street 1:6300 CREEDMOOR RD
Practice Address - Street 2:150
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-6730
Practice Address - Country:US
Practice Address - Phone:919-612-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist