Provider Demographics
NPI:1447503222
Name:MORSCH, JACQUELINE KRISTA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:KRISTA
Last Name:MORSCH
Suffix:
Gender:F
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 1:820 FORT SALONGA RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-3151
Mailing Address - Country:US
Mailing Address - Phone:631-261-1057
Mailing Address - Fax:631-754-0285
Practice Address - Street 1:820 FORT SALONGA RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-3151
Practice Address - Country:US
Practice Address - Phone:631-261-1057
Practice Address - Fax:631-754-0285
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057501183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist