Provider Demographics
NPI:1811277973
Name:MORGAN, RICHARD B (RPH)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:B
Last Name:MORGAN
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 1:604 LEE MORGAN RD
Mailing Address - Street 2:#749
Mailing Address - City:ESSIE
Mailing Address - State:KY
Mailing Address - Zip Code:40827
Mailing Address - Country:US
Mailing Address - Phone:606-672-3811
Mailing Address - Fax:606-672-3926
Practice Address - Street 1:21154 HIGHWAY 421 SOUTH
Practice Address - Street 2:
Practice Address - City:HYDEN
Practice Address - State:KY
Practice Address - Zip Code:41749
Practice Address - Country:US
Practice Address - Phone:606-672-3811
Practice Address - Fax:606-672-3926
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist