Provider Demographics
NPI:1184254674
Name:HARRISON, HALLE HELLAINE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:HALLE
Middle Name:HELLAINE
Last Name:HARRISON
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 RUNNELS ST APT 5213
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-1091
Mailing Address - Country:US
Mailing Address - Phone:404-513-9663
Mailing Address - Fax:
Practice Address - Street 1:2115 RUNNELS ST APT 5213
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-1091
Practice Address - Country:US
Practice Address - Phone:404-513-9663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61429183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist