Provider Demographics
NPI:1457882979
Name:GARRICK, MORGAN WHITE (PHARMD)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:WHITE
Last Name:GARRICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:KAY
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2200 S MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-1701
Mailing Address - Country:US
Mailing Address - Phone:251-943-3320
Mailing Address - Fax:251-943-3327
Practice Address - Street 1:2200 S MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-1701
Practice Address - Country:US
Practice Address - Phone:251-943-3320
Practice Address - Fax:251-943-3327
Is Sole Proprietor?:No
Enumeration Date:2017-03-26
Last Update Date:2017-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17268183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL10003353Medicaid