Provider Demographics
NPI:1598042194
Name:HARP, SAMANTHA MARIE (PHARM D)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:MARIE
Last Name:HARP
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 MCKINNEY AVE
Mailing Address - Street 2:#818
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-8603
Mailing Address - Country:US
Mailing Address - Phone:405-249-0008
Mailing Address - Fax:
Practice Address - Street 1:2808 MCKINNEY AVE
Practice Address - Street 2:#818
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-8603
Practice Address - Country:US
Practice Address - Phone:405-249-0008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50956183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist