Provider Demographics
NPI:1093256943
Name:HARNAK, THERESA LOUISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:LOUISE
Last Name:HARNAK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:LOUISE
Other - Last Name:ROSEHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-1434
Mailing Address - Country:US
Mailing Address - Phone:610-650-3927
Mailing Address - Fax:
Practice Address - Street 1:200 MILL RD
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-1434
Practice Address - Country:US
Practice Address - Phone:610-650-3927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-12
Last Update Date:2017-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP451202183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist