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Individual
MICHAEL CLARK MORRIS
Active
Individual
MICHAEL CLARK MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28988
TN
183500000X
Pharmacist
9999
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28988
PHARMACY LICENSE
TN
01
—
9999
PHARMACY LICENSE
KY
Enumeration date
06/21/2012
Last updated
06/21/2012
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