Provider Demographics
NPI:1871935387
Name:MORRIS, SHACORY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SHACORY
Middle Name:
Last Name:MORRIS
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 1:330 DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:MS
Mailing Address - Zip Code:39175-9741
Mailing Address - Country:US
Mailing Address - Phone:504-982-3512
Mailing Address - Fax:
Practice Address - Street 1:1728 HIGHWAY 45 N
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2118
Practice Address - Country:US
Practice Address - Phone:662-328-0747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE13164183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist