Provider Demographics
NPI:1891806204
Name:MCMORROW, TRACY LYNN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:LYNN
Last Name:MCMORROW
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 1:533 EGLIN PKWY NE
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-2829
Mailing Address - Country:US
Mailing Address - Phone:850-226-8162
Mailing Address - Fax:850-226-8485
Practice Address - Street 1:533 EGLIN PKWY NE
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-2829
Practice Address - Country:US
Practice Address - Phone:850-226-8162
Practice Address - Fax:850-226-8485
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS27786183500000X
FLPU4274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist