Provider Demographics
NPI:1265648901
Name:MORGE, DAVID PHILLIP (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:PHILLIP
Last Name:MORGE
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 1:547 RIDGECREST LN
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-1363
Mailing Address - Country:US
Mailing Address - Phone:615-449-2343
Mailing Address - Fax:
Practice Address - Street 1:1303 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-3209
Practice Address - Country:US
Practice Address - Phone:615-449-4330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN228051835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy