Provider Demographics
NPI:1194141192
Name:MORGAN, TAEGAN (PHARM D)
Entity type:Individual
Prefix:
First Name:TAEGAN
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 OLDE MAIN PLZ
Mailing Address - Street 2:APT 202
Mailing Address - City:SAINT ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177-2741
Mailing Address - Country:US
Mailing Address - Phone:660-232-2846
Mailing Address - Fax:
Practice Address - Street 1:4016 STATE ROUTE 34
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-9009
Practice Address - Country:US
Practice Address - Phone:304-757-7318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0008289183500000X
NC2009027311183500000X
KS1-14974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist