Provider Demographics
NPI:1477878692
Name:HARRIS, JAMES C (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:C
Last Name:HARRIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1649 E ROY PARKER RD
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:AL
Mailing Address - Zip Code:36360-4716
Mailing Address - Country:US
Mailing Address - Phone:334-774-5916
Mailing Address - Fax:
Practice Address - Street 1:1649 E ROY PARKER RD
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-4716
Practice Address - Country:US
Practice Address - Phone:334-791-5290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK6558183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist