Provider Demographics
NPI:1043809585
Name:SCHREIBER, MORGAN ASHLEIGH (PHARMD)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:ASHLEIGH
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7234 TOWN BROOKE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-6619
Mailing Address - Country:US
Mailing Address - Phone:603-566-1457
Mailing Address - Fax:
Practice Address - Street 1:1492 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-1287
Practice Address - Country:US
Practice Address - Phone:203-439-9099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.00141971835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric