Provider Demographics
NPI:1821498155
Name:HARRIS, THOMAS GRIER JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GRIER
Last Name:HARRIS
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10107 WHITE CASCADE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-8397
Mailing Address - Country:US
Mailing Address - Phone:704-906-1427
Mailing Address - Fax:704-971-1879
Practice Address - Street 1:10107 WHITE CASCADE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-8397
Practice Address - Country:US
Practice Address - Phone:704-906-1427
Practice Address - Fax:704-971-1879
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist