Provider Demographics
NPI:1528281730
Name:STERN, MORRIS (RPH)
Entity type:Individual
Prefix:MR
First Name:MORRIS
Middle Name:
Last Name:STERN
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 1:1921 MENOHER BLVD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-1728
Mailing Address - Country:US
Mailing Address - Phone:814-255-5198
Mailing Address - Fax:
Practice Address - Street 1:550 LOCUST STREET
Practice Address - Street 2:
Practice Address - City:ST. MICHAEL
Practice Address - State:PA
Practice Address - Zip Code:15951
Practice Address - Country:US
Practice Address - Phone:814-495-7127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029797L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist