Provider Demographics
NPI:1699057273
Name:MORRISON, EVA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:EVA
Other - Middle Name:
Other - Last Name:CYGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2525 S ALPINE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108-7812
Mailing Address - Country:US
Mailing Address - Phone:815-227-9861
Mailing Address - Fax:815-227-5636
Practice Address - Street 1:2525 S ALPINE RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-7812
Practice Address - Country:US
Practice Address - Phone:815-227-9861
Practice Address - Fax:815-227-5636
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051292056183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist