Provider Demographics
NPI:1255936720
Name:MORRIS, KEVIN HAROLD (RPH)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:HAROLD
Last Name:MORRIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-3810
Mailing Address - Country:US
Mailing Address - Phone:717-263-6788
Mailing Address - Fax:717-267-0195
Practice Address - Street 1:840 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-3810
Practice Address - Country:US
Practice Address - Phone:717-263-6788
Practice Address - Fax:717-267-0195
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041332R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist