Provider Demographics
NPI:1740478262
Name:MORRIS, PHILLIP R (RPH)
Entity type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:R
Last Name:MORRIS
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 1:2827 BABCOCK RD
Mailing Address - Street 2:ATTN: PHARMACY DEPT.
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4813
Mailing Address - Country:US
Mailing Address - Phone:210-705-6194
Mailing Address - Fax:210-705-6087
Practice Address - Street 1:2827 BABCOCK RD
Practice Address - Street 2:ATTN: PHARMACY DEPT.
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4813
Practice Address - Country:US
Practice Address - Phone:210-705-6194
Practice Address - Fax:210-705-6087
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX269571835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy