Provider Demographics
NPI:1417551128
Name:PRICE, HARRISON ARTHUR
Entity Type:Individual
Prefix:
First Name:HARRISON
Middle Name:ARTHUR
Last Name:PRICE
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 1:4082 JANDY BLVD
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-8998
Mailing Address - Country:US
Mailing Address - Phone:610-746-3412
Mailing Address - Fax:
Practice Address - Street 1:4082 JANDY BLVD
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-8998
Practice Address - Country:US
Practice Address - Phone:610-746-3412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4507433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy