Provider Demographics
NPI:1972362655
Name:SCHENCK, MORGAN A (PCTB)
Entity Type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:A
Last Name:SCHENCK
Suffix:
Gender:F
Credentials:PCTB
Other - Prefix:MS
Other - First Name:MORGAN
Other - Middle Name:A
Other - Last Name:SCHENCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTCB
Mailing Address - Street 1:2500 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9004
Mailing Address - Country:US
Mailing Address - Phone:970-624-2500
Mailing Address - Fax:
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-624-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0016470183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician