Provider Demographics
NPI:1396818886
Name:HARMON, RICHARD L (PD)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:L
Last Name:HARMON
Suffix:
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12819 HIGHWAY 154
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72833-6711
Mailing Address - Country:US
Mailing Address - Phone:479-495-3135
Mailing Address - Fax:479-331-4003
Practice Address - Street 1:8880 MARKET ST
Practice Address - Street 2:BOX 335
Practice Address - City:DOVER
Practice Address - State:AR
Practice Address - Zip Code:72837-9111
Practice Address - Country:US
Practice Address - Phone:479-331-2133
Practice Address - Fax:479-331-4003
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD07854183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist