Provider Demographics
NPI:1710276951
Name:HARLEMAN, RICHARD H (RP)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:H
Last Name:HARLEMAN
Suffix:
Gender:M
Credentials:RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 DEER TRL
Mailing Address - Street 2:
Mailing Address - City:JIM THORPE
Mailing Address - State:PA
Mailing Address - Zip Code:18229-2909
Mailing Address - Country:US
Mailing Address - Phone:570-325-4821
Mailing Address - Fax:
Practice Address - Street 1:22 DEER TRL
Practice Address - Street 2:
Practice Address - City:JIM THORPE
Practice Address - State:PA
Practice Address - Zip Code:18229-2909
Practice Address - Country:US
Practice Address - Phone:570-325-4821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP027053L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist