Provider Demographics
NPI:1902494735
Name:FAUST, MORGAN LYNN
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:LYNN
Last Name:FAUST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:COAL TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:17866-5145
Mailing Address - Country:US
Mailing Address - Phone:570-495-3558
Mailing Address - Fax:
Practice Address - Street 1:339 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:SHAMOKIN
Practice Address - State:PA
Practice Address - Zip Code:17872-5225
Practice Address - Country:US
Practice Address - Phone:570-648-7669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician