Provider Demographics
NPI:1437400371
Name:HARPER, THOMAS JORDAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:JORDAN
Last Name:HARPER
Suffix:
Gender:M
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 1:2809 S CAMDEN RD
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-4628
Mailing Address - Country:US
Mailing Address - Phone:870-879-3954
Mailing Address - Fax:870-879-3965
Practice Address - Street 1:2809 SOUTH CAMDEN ROAD
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603
Practice Address - Country:US
Practice Address - Phone:870-879-3954
Practice Address - Fax:870-879-3965
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist