Provider Demographics
NPI:1942335013
Name:MORGAN'S PHARMACY
Entity type:Organization
Organization Name:MORGAN'S PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:803-258-3356
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:SC
Mailing Address - Zip Code:29146-0035
Mailing Address - Country:US
Mailing Address - Phone:803-258-3356
Mailing Address - Fax:803-258-3358
Practice Address - Street 1:7300 FESTIVAL TRAIL RD.
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:SC
Practice Address - Zip Code:29146
Practice Address - Country:US
Practice Address - Phone:803-258-3356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC500002493336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC0992850002Medicare NSC
SCDME358Medicaid