Provider Demographics
NPI:1619744265
Name:HARRIS, STANLEY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:
Last Name:HARRIS
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 1:311 POMONA DR STE BC
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1693
Mailing Address - Country:US
Mailing Address - Phone:888-383-4852
Mailing Address - Fax:888-383-8430
Practice Address - Street 1:311 POMONA DR STE BC
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1693
Practice Address - Country:US
Practice Address - Phone:888-383-4852
Practice Address - Fax:888-383-8430
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist