Provider Demographics
NPI:1881914299
Name:MORRIS, SHEILA (PHARMACIST)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7685 103RD ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-9325
Mailing Address - Country:US
Mailing Address - Phone:904-894-1166
Mailing Address - Fax:904-328-3794
Practice Address - Street 1:7685 103RD ST
Practice Address - Street 2:SUITE 4
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-9325
Practice Address - Country:US
Practice Address - Phone:904-894-1166
Practice Address - Fax:904-328-3794
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist