Provider Demographics
NPI:1609603232
Name:MORGAN, ANDREW JAMES
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:MORGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:ASHLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18706-1520
Mailing Address - Country:US
Mailing Address - Phone:570-991-8858
Mailing Address - Fax:
Practice Address - Street 1:1710 MOUNT ROYAL BLVD
Practice Address - Street 2:
Practice Address - City:GLENSHAW
Practice Address - State:PA
Practice Address - Zip Code:15116-2115
Practice Address - Country:US
Practice Address - Phone:412-487-8767
Practice Address - Fax:412-487-7174
Is Sole Proprietor?:No
Enumeration Date:2024-09-17
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458919183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist