Provider Demographics
NPI:1689921744
Name:HARMON, PEGGY MICHELLE (BS IN PHARMACY)
Entity Type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:MICHELLE
Last Name:HARMON
Suffix:
Gender:F
Credentials:BS IN PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 WESEL BLVD
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5389
Mailing Address - Country:US
Mailing Address - Phone:301-393-3786
Mailing Address - Fax:301-745-3086
Practice Address - Street 1:1700 WESEL BLVD
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5389
Practice Address - Country:US
Practice Address - Phone:301-393-3786
Practice Address - Fax:301-745-3086
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2020-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD13141OtherLICENSCE