Provider Demographics
NPI:1295017515
Name:HARMS, MICHELE (RPH)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:
Last Name:HARMS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 50TH ST
Mailing Address - Street 2:#8A
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-4985
Mailing Address - Country:US
Mailing Address - Phone:515-224-0431
Mailing Address - Fax:
Practice Address - Street 1:1999 GRAND AVE
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-4223
Practice Address - Country:US
Practice Address - Phone:515-222-1546
Practice Address - Fax:515-222-0724
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist