Mackenzie Lane Morrison, PHARMD
Individual provider Active NPI Pharmacist · Gallatin, MO
NPI 1851917850 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1851917850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2008027918 (MO)
- Practice address
- 403 S Main St
Gallatin, MO 64640-1434 - Phone
- (660) 663-7979
- Fax
- (816) 295-2354
- NPI assigned
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008027918 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Medical Pharmacy, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2008027918 | MO | Yes |
Addresses
Primary practice location
403 S Main St
Gallatin, MO 64640-1434
Mailing address
403 S Main St
Gallatin, MO 64640-1434
Phone (660) 663-7979
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2008027918 | Other | MO | MISSOURI BOARD OF PHARMACY PHARMACIST LICENSE |
Other providers in Gallatin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. 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.