Provider Demographics
NPI:1588269567
Name:MORROW, THOMAS SHANE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:SHANE
Last Name:MORROW
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 W GRANDVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-1267
Mailing Address - Country:US
Mailing Address - Phone:814-873-0763
Mailing Address - Fax:
Practice Address - Street 1:6700 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-7712
Practice Address - Country:US
Practice Address - Phone:814-860-8711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440725183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist