Provider Demographics
NPI:1942527346
Name:HARRIS, TORREY LE VAL (PHARM D)
Entity Type:Individual
Prefix:
First Name:TORREY
Middle Name:LE VAL
Last Name:HARRIS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1759 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-6143
Mailing Address - Country:US
Mailing Address - Phone:901-721-0805
Mailing Address - Fax:
Practice Address - Street 1:1759 UNION AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-6143
Practice Address - Country:US
Practice Address - Phone:901-721-0805
Practice Address - Fax:615-822-6331
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist