Provider Demographics
NPI:1861004764
Name:MOREHOUSE, DUANE AMEER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:AMEER
Last Name:MOREHOUSE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W PLATT ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2241
Mailing Address - Country:US
Mailing Address - Phone:813-765-9063
Mailing Address - Fax:
Practice Address - Street 1:315 W PLATT ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2241
Practice Address - Country:US
Practice Address - Phone:813-765-9063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS60460183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist