Provider Demographics
NPI:1760929517
Name:HARRIS, SANDI LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SANDI
Middle Name:LYNN
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 1:910 S WALL ST
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-2620
Mailing Address - Country:US
Mailing Address - Phone:706-602-8008
Mailing Address - Fax:706-602-3723
Practice Address - Street 1:910 S WALL ST
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-2620
Practice Address - Country:US
Practice Address - Phone:706-602-8008
Practice Address - Fax:706-602-3723
Is Sole Proprietor?:No
Enumeration Date:2017-01-31
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH029656183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist