Provider Demographics
NPI:1730845744
Name:MORRISON, ADAM T (PHARM D)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:T
Last Name:MORRISON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2934 DUNLOP LN APT 534
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-1531
Mailing Address - Country:US
Mailing Address - Phone:515-360-9144
Mailing Address - Fax:
Practice Address - Street 1:1751 TINY TOWN RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-7632
Practice Address - Country:US
Practice Address - Phone:931-552-7464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-14
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45354183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist