Provider Demographics
NPI:1972988087
Name:HARRIS, ASHLEY LEEANNE (PHARM D)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LEEANNE
Last Name:HARRIS
Suffix:
Gender:F
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 1:9900 POPLAR TENT RD STE 124
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-9502
Mailing Address - Country:US
Mailing Address - Phone:704-789-9602
Mailing Address - Fax:704-795-4266
Practice Address - Street 1:9900 POPLAR TENT RD STE 124
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-9502
Practice Address - Country:US
Practice Address - Phone:704-789-9602
Practice Address - Fax:704-795-4266
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251461835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy