Provider Demographics
NPI:1598051062
Name:HARMS, KIRK RICHARD (PHARM D)
Entity Type:Individual
Prefix:
First Name:KIRK
Middle Name:RICHARD
Last Name:HARMS
Suffix:
Gender:M
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 1:4800 3RD AVE
Mailing Address - Street 2:T-0857
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-2892
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4800 3RD AVE
Practice Address - Street 2:T-0857
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-2892
Practice Address - Country:US
Practice Address - Phone:308-237-2002
Practice Address - Fax:308-237-2002
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11908183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist