Provider Demographics
NPI:1821532029
Name:MORRISEY, PATRICIA ANNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANNE
Last Name:MORRISEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 W OGLETHORPE HWY
Mailing Address - Street 2:ATTN PHARMACY
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-4447
Mailing Address - Country:US
Mailing Address - Phone:912-876-6675
Mailing Address - Fax:
Practice Address - Street 1:555 W OGLETHORPE HWY
Practice Address - Street 2:ATTN PHARMACY
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-4447
Practice Address - Country:US
Practice Address - Phone:912-876-6675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA28941183500000X
SC36390183500000X
HI2654183500000X
IL051.291792183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist