Provider Demographics
NPI:1881807261
Name:MORRIS, CLIFFORD JOSH (PHARM D)
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:JOSH
Last Name:MORRIS
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:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:MT
Mailing Address - Zip Code:59632-0026
Mailing Address - Country:US
Mailing Address - Phone:406-431-1172
Mailing Address - Fax:
Practice Address - Street 1:215 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:MT
Practice Address - Zip Code:59632-7761
Practice Address - Country:US
Practice Address - Phone:406-225-3240
Practice Address - Fax:406-225-3246
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3977183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist