Individual
MICHAEL MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
US ROUTE 119 HOLDEN RD, MOUNT GAY, WV 25637-1263
(304) 239-2380
Mailing address
PO BOX 1263, MOUNT GAY, WV 25637-1263
(304) 239-2380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0009488
WV
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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