Provider Demographics
NPI:1679588073
Name:HARRER, JUDITH M (PHD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:M
Last Name:HARRER
Suffix:
Gender:F
Credentials:PHD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:KY
Mailing Address - Zip Code:41073-1518
Mailing Address - Country:US
Mailing Address - Phone:859-261-1111
Mailing Address - Fax:
Practice Address - Street 1:3200 VINE ST
Practice Address - Street 2:VAMC (119)
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:513-475-6975
Practice Address - Fax:513-475-8981
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03315923183500000X
KY9086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist