Provider Demographics
NPI:1528443595
Name:CARLILE-MORGAN, EDINA LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EDINA
Middle Name:LYNN
Last Name:CARLILE-MORGAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:EDINA
Other - Middle Name:LYNN
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:108 DIXIE AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:24572-4500
Mailing Address - Country:US
Mailing Address - Phone:434-895-6672
Mailing Address - Fax:
Practice Address - Street 1:108 DIXIE AIRPORT RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:24572-4500
Practice Address - Country:US
Practice Address - Phone:434-895-6672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP7316183500000X
WAPH60549752183500000X
MTPHA-PHA-LIC-107523183500000X
ORRPH-0015513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist