Provider Demographics
NPI:1902623341
Name:CONTRERAS, MORGAN ALEXEA (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:ALEXEA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2104 S BYRNE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-5149
Mailing Address - Country:US
Mailing Address - Phone:419-389-9112
Mailing Address - Fax:
Practice Address - Street 1:2104 S BYRNE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-5149
Practice Address - Country:US
Practice Address - Phone:419-389-9112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03444834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist