Provider Demographics
NPI:1316778947
Name:MORROW, IRENE (RPH)
Entity type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:
Last Name:MORROW
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5250 VILLA VERDE DR APT M6
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1516
Mailing Address - Country:US
Mailing Address - Phone:775-460-1127
Mailing Address - Fax:
Practice Address - Street 1:1550 E LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-8989
Practice Address - Country:US
Practice Address - Phone:775-332-1004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV24077183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist