Provider Demographics
NPI:1275830929
Name:HARRIS, CLAIRE BOSTWICK (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:BOSTWICK
Last Name:HARRIS
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 1:350 SHIVELY AVE
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-2695
Mailing Address - Country:US
Mailing Address - Phone:901-309-1609
Mailing Address - Fax:
Practice Address - Street 1:9325 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-7906
Practice Address - Country:US
Practice Address - Phone:901-309-1609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24368183500000X
MS9967183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist