Provider Demographics
NPI:1841576576
Name:YOUNG, MORGAN NORRIS (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:NORRIS
Last Name:YOUNG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 W PARRISH DR
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-1648
Mailing Address - Country:US
Mailing Address - Phone:919-585-3604
Mailing Address - Fax:
Practice Address - Street 1:204 W PARRISH DR
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-1648
Practice Address - Country:US
Practice Address - Phone:919-585-3604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21239183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
3434026OtherNCPDP PROVIDER IDENTIFICATION NUMBER
NC0515460Medicaid
1193760062Medicare NSC