Morgan Elizabeth Brandon, PHARMD
Individual provider Active NPI Pharmacist · Fredericktown, MO
NPI 1619643103 · NPPES record last updated Jan 27, 2022
Key facts
- NPI
- 1619643103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2021028725 (MO)
- Practice address
- 1025 Mo-72
Fredericktown, MO 63645 - Phone
- (573) 783-6000
- NPI assigned
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2021028725 | MO | Yes |
Addresses
Primary practice location
1025 Mo-72
Fredericktown, MO 63645
Mailing address
1131 N Desloge Dr
Desloge, MO 63601-2936
Phone (573) 431-6677
Other providers in Fredericktown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.