Provider Demographics
NPI:1497761258
Name:HARRON, DEBRA LINDSAY (RPH, MBA)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:LINDSAY
Last Name:HARRON
Suffix:
Gender:F
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:MARS HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28754-9700
Mailing Address - Country:US
Mailing Address - Phone:828-689-2667
Mailing Address - Fax:
Practice Address - Street 1:144 MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:MARS HILL
Practice Address - State:NC
Practice Address - Zip Code:28754-9700
Practice Address - Country:US
Practice Address - Phone:828-689-2667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC08123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC057538-1Medicaid
NC4952390001Medicare ID - Type Unspecified