Provider Demographics
NPI:1396326211
Name:MORRIS, DARRYL RICHARD (RPH)
Entity type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:RICHARD
Last Name:MORRIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 SCHILLINGER RD N
Mailing Address - Street 2:
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575-7405
Mailing Address - Country:US
Mailing Address - Phone:251-709-2150
Mailing Address - Fax:251-649-4155
Practice Address - Street 1:7855 MOFFETT RD
Practice Address - Street 2:
Practice Address - City:SEMMES
Practice Address - State:AL
Practice Address - Zip Code:36575-5411
Practice Address - Country:US
Practice Address - Phone:251-645-8224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS13643183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALS13643Medicaid