Provider Demographics
NPI:1831938265
Name:MORRIS, ERIN KAY (CPHT)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:KAY
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 W SUNSHINE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-0906
Mailing Address - Country:US
Mailing Address - Phone:417-864-8006
Mailing Address - Fax:417-864-2844
Practice Address - Street 1:3520 W SUNSHINE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-0906
Practice Address - Country:US
Practice Address - Phone:417-864-8006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008012384183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician