NPI 1003114133

Kim Morgan

Practitioner Pharmacist Manteca, CA

Practice location

Address: 900 N Main St, Manteca, CA 95336-3743
Phone: (209) 239-4175
Fax: (209) 239-0980

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH 36489 (CA)

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Registry record

NPI: 1003114133
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2011
Record last updated: 14 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.