Provider Demographics
NPI:1598004566
Name:HARPER, CAROLINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9085 LEGACY CT
Mailing Address - Street 2:
Mailing Address - City:TEMPERANCE
Mailing Address - State:MI
Mailing Address - Zip Code:48182-3306
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15901 FORD RD
Practice Address - Street 2:TARGET 0279
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2800
Practice Address - Country:US
Practice Address - Phone:313-768-0293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5302029204183500000X
MI5302029204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist