Provider Demographics
NPI:1508389388
Name:HARMISON, JOSHUA KEVIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:KEVIN
Last Name:HARMISON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2864 FENEL AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-7832
Mailing Address - Country:US
Mailing Address - Phone:801-636-7686
Mailing Address - Fax:
Practice Address - Street 1:200 ROOD AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7819
Practice Address - Country:US
Practice Address - Phone:970-241-2779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0021784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist