Provider Demographics
NPI:1962536532
Name:MORRISON, GARY LEE (RPH)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:LEE
Last Name:MORRISON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 CONWAY DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3112
Mailing Address - Country:US
Mailing Address - Phone:406-751-7600
Mailing Address - Fax:406-257-5230
Practice Address - Street 1:200 CONWAY DR
Practice Address - Street 2:SUITE A
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3112
Practice Address - Country:US
Practice Address - Phone:406-752-0354
Practice Address - Fax:406-257-5230
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT3510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist