Provider Demographics
NPI:1003084013
Name:HARWOOD, RICHARD JAMES
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:JAMES
Last Name:HARWOOD
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 1:3219 ADAMS CT
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1807
Mailing Address - Country:US
Mailing Address - Phone:215-757-0261
Mailing Address - Fax:
Practice Address - Street 1:85 FRANKLIN MILLS BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19154-3109
Practice Address - Country:US
Practice Address - Phone:215-612-1201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP025373L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP025373LOtherBOARD OF PHARMACY