Provider Demographics
NPI:1306127337
Name:LAMORGIA, AMY ROSE (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:AMY
Middle Name:ROSE
Last Name:LAMORGIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 JOHNSTON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-4914
Mailing Address - Country:US
Mailing Address - Phone:215-888-7394
Mailing Address - Fax:
Practice Address - Street 1:3620 CONCORD RD
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-3601
Practice Address - Country:US
Practice Address - Phone:610-485-8102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-03
Last Update Date:2011-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441673183500000X
FLPS42135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist