Provider Demographics
NPI:1205639432
Name:PRICE, MORGANN ALEXIS (PHARMD)
Entity type:Individual
Prefix:
First Name:MORGANN
Middle Name:ALEXIS
Last Name:PRICE
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 S BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:HINTON
Mailing Address - State:OK
Mailing Address - Zip Code:73047-9376
Mailing Address - Country:US
Mailing Address - Phone:918-510-7336
Mailing Address - Fax:
Practice Address - Street 1:1349 E EAGLE RD
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-9208
Practice Address - Country:US
Practice Address - Phone:580-772-2712
Practice Address - Fax:580-772-2719
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist