Provider Demographics
NPI:1396160370
Name:MORRISON, DONALD ALLEN JR (RPH)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:ALLEN
Last Name:MORRISON
Suffix:JR
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 1:8967 KOBE LANE RD
Mailing Address - Street 2:
Mailing Address - City:IRONS
Mailing Address - State:MI
Mailing Address - Zip Code:49644-9557
Mailing Address - Country:US
Mailing Address - Phone:248-787-8596
Mailing Address - Fax:
Practice Address - Street 1:1615 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:MI
Practice Address - Zip Code:49304-7984
Practice Address - Country:US
Practice Address - Phone:231-745-5024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302023829183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist