Provider Demographics
NPI:1518561778
Name:HARDING, MYLES JEFFREY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MYLES
Middle Name:JEFFREY
Last Name:HARDING
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 1:2001 CECIL ASHBURN DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-2557
Mailing Address - Country:US
Mailing Address - Phone:256-880-1470
Mailing Address - Fax:
Practice Address - Street 1:2001 CECIL ASHBURN DR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2557
Practice Address - Country:US
Practice Address - Phone:256-880-1470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19890183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist