Provider Demographics
NPI:1881977981
Name:MORGA, STEWART ALLEN (RPH)
Entity type:Individual
Prefix:MR
First Name:STEWART
Middle Name:ALLEN
Last Name:MORGA
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 1:705 HIGHWAY 62 65 N
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-2152
Mailing Address - Country:US
Mailing Address - Phone:870-365-0459
Mailing Address - Fax:
Practice Address - Street 1:705 HIGHWAY 62 65 N
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2152
Practice Address - Country:US
Practice Address - Phone:870-365-0459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09932183500000X
MO30041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist