Provider Demographics
NPI:1427647379
Name:MORTON, ALLEN ROBERT
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:ROBERT
Last Name:MORTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-3105
Mailing Address - Country:US
Mailing Address - Phone:856-963-4742
Mailing Address - Fax:856-541-8580
Practice Address - Street 1:1201 HADDON AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-3105
Practice Address - Country:US
Practice Address - Phone:856-963-4742
Practice Address - Fax:856-541-8580
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02567600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist