Provider Demographics
NPI:1649549197
Name:MORELOCK, KERRI (PHARMD)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:MORELOCK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:
Other - Last Name:WENSLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2421 BASSFORD LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-6689
Mailing Address - Country:US
Mailing Address - Phone:229-894-9923
Mailing Address - Fax:
Practice Address - Street 1:601 11TH AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1645
Practice Address - Country:US
Practice Address - Phone:229-352-9368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023108183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist