Provider Demographics
NPI:1972873172
Name:HARPER, JODI (PHARMD)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:HARPER
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 1:507 E DR MARTIN LUTHER KING JR BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3932
Mailing Address - Country:US
Mailing Address - Phone:813-406-4491
Mailing Address - Fax:
Practice Address - Street 1:507 E DR MARTIN LUTHER KING JR BLVD STE 1
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3932
Practice Address - Country:US
Practice Address - Phone:813-406-4491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL38459183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist