Provider Demographics
NPI:1760775183
Name:HARRIS, DEBRA KAYE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:KAYE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 NEWTOWN PIKE STE 160
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-1245
Mailing Address - Country:US
Mailing Address - Phone:859-226-0585
Mailing Address - Fax:859-226-0595
Practice Address - Street 1:1051 NEWTOWN PIKE STE 160
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-1245
Practice Address - Country:US
Practice Address - Phone:859-226-0585
Practice Address - Fax:859-226-0595
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0007390183500000X
KY010793183500000X
FLPS40930183500000X
IL051293224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist