Provider Demographics
NPI:1740580463
Name:MORNING LLC
Entity Type:Organization
Organization Name:MORNING LLC
Other - Org Name:EXPRESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ISLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-460-0542
Mailing Address - Street 1:1450 E NORTH BLVD
Mailing Address - Street 2:SUITE # 1
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-5393
Mailing Address - Country:US
Mailing Address - Phone:352-460-0542
Mailing Address - Fax:352-460-4527
Practice Address - Street 1:1450 E NORTH BLVD STE 1
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-5398
Practice Address - Country:US
Practice Address - Phone:352-460-0542
Practice Address - Fax:352-460-4527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH249523336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5702243OtherNCPDP PROVIDER IDENTIFICATION NUMBER