Provider Demographics
NPI:1356521215
Name:MORRISON, GINGER LYNN (RPH)
Entity type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:LYNN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 E EVERGREEN DR
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913-7402
Mailing Address - Country:US
Mailing Address - Phone:920-739-5900
Mailing Address - Fax:920-739-3922
Practice Address - Street 1:3701 E EVERGREEN DR
Practice Address - Street 2:SUITE 1000
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-7402
Practice Address - Country:US
Practice Address - Phone:920-739-5900
Practice Address - Fax:920-739-3922
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA189771835G0303X
IL1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA18977OtherSTATE LICENSE NUMBER