Morgan Bader, PHARMD

Individual provider Active NPI Pharmacist · Ellington, MO

NPI 1851938633 · NPPES record last updated Nov 29, 2019

Key facts

NPI
1851938633
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
2019028164 (MO)
Practice address
375 Trimmer LN
Ellington, MO 63638-7972
Phone
(573) 663-7707
NPI assigned
Nov 29, 2019
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)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
2019028164MOMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2019028164 MO Yes

Addresses

Primary practice location

375 Trimmer LN
Ellington, MO 63638-7972

Mailing address

375 Trimmer LN
Ellington, MO 63638-7972
Phone (573) 663-7707

Other providers in Ellington, MO

All providers in Ellington, MO · Pharmacist in Missouri

Sources for this page

Verify at the official NPI Registry.