Provider Demographics
NPI:1841393279
Name:HARRISON'S PHARMACY LLC
Entity Type:Organization
Organization Name:HARRISON'S PHARMACY LLC
Other - Org Name:HARRISON'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MGRM
Authorized Official - Prefix:MR
Authorized Official - First Name:HETAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-894-2373
Mailing Address - Street 1:3333 CURRY FORD RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-3472
Mailing Address - Country:US
Mailing Address - Phone:407-894-2373
Mailing Address - Fax:407-894-3959
Practice Address - Street 1:3333 CURRY FORD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-3472
Practice Address - Country:US
Practice Address - Phone:407-894-2373
Practice Address - Fax:407-894-3959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
FLPH8654183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No333600000XSuppliersPharmacyGroup - Multi-Specialty
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1045017OtherNCPDP PROVIDER IDENTIFICATION NUMBER
FL6135360001Medicare NSC