Provider Demographics
NPI:1811099641
Name:MORGAN, DAVID CHARLES (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CHARLES
Last Name:MORGAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:40 TOMMY MARKS WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1114
Mailing Address - Country:US
Mailing Address - Phone:781-331-0180
Mailing Address - Fax:781-335-6565
Practice Address - Street 1:40 TOMMY MARKS WAY
Practice Address - Street 2:
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1114
Practice Address - Country:US
Practice Address - Phone:781-331-0180
Practice Address - Fax:781-335-6565
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA17082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist