Provider Demographics
NPI:1932482643
Name:MORRIS, CASSANDRA AILEEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:AILEEN
Last Name:MORRIS
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 1:1325 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-2458
Mailing Address - Country:US
Mailing Address - Phone:501-941-3131
Mailing Address - Fax:501-941-3137
Practice Address - Street 1:1325 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-2458
Practice Address - Country:US
Practice Address - Phone:501-941-3131
Practice Address - Fax:501-941-3137
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPR10257183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist