Provider Demographics
NPI:1699913947
Name:MORTON, BRYCE ALLEN (PHARM D)
Entity type:Individual
Prefix:
First Name:BRYCE
Middle Name:ALLEN
Last Name:MORTON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10961 S EMERALD ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-2867
Mailing Address - Country:US
Mailing Address - Phone:785-550-2594
Mailing Address - Fax:913-647-4611
Practice Address - Street 1:9204 BOND ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1727
Practice Address - Country:US
Practice Address - Phone:913-647-4610
Practice Address - Fax:913-647-4611
Is Sole Proprietor?:No
Enumeration Date:2009-01-24
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13664183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist