Provider Demographics
NPI:1891599650
Name:MORRIS DRUG CO INC
Entity type:Organization
Organization Name:MORRIS DRUG CO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:TANNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:912-422-3631
Mailing Address - Street 1:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:PEARSON
Mailing Address - State:GA
Mailing Address - Zip Code:31642-0608
Mailing Address - Country:US
Mailing Address - Phone:912-422-3631
Mailing Address - Fax:912-422-6104
Practice Address - Street 1:646 MAIN ST N
Practice Address - Street 2:
Practice Address - City:PEARSON
Practice Address - State:GA
Practice Address - Zip Code:31642-7549
Practice Address - Country:US
Practice Address - Phone:912-422-3631
Practice Address - Fax:912-422-6104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy