Individual
MICHAEL CLARK MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 WILL HICKERSON RD, TULLAHOMA, TN 37388-6779
(931) 455-7065
Mailing address
132 WILL HICKERSON RD, TULLAHOMA, TN 37388-6779
(931) 455-7065
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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