Provider Demographics
NPI:1821607011
Name:HARMON, SHAWNA LEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:LEE
Last Name:HARMON
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 1:2325 N STATE HIGHWAY 3
Mailing Address - Street 2:
Mailing Address - City:NORTH VERNON
Mailing Address - State:IN
Mailing Address - Zip Code:47265-9251
Mailing Address - Country:US
Mailing Address - Phone:812-352-1780
Mailing Address - Fax:
Practice Address - Street 1:2325 N STATE HIGHWAY 3
Practice Address - Street 2:
Practice Address - City:NORTH VERNON
Practice Address - State:IN
Practice Address - Zip Code:47265-9251
Practice Address - Country:US
Practice Address - Phone:812-352-1780
Practice Address - Fax:812-352-1782
Is Sole Proprietor?:No
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26028828A1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist