Provider Demographics
NPI:1770206187
Name:HARRIS, CHRISTOPHER (RPH)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:HARRIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3349 PAN AMERICAN DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5510
Mailing Address - Country:US
Mailing Address - Phone:305-347-3854
Mailing Address - Fax:305-274-5377
Practice Address - Street 1:3349 PAN AMERICAN DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-5510
Practice Address - Country:US
Practice Address - Phone:305-341-3854
Practice Address - Fax:305-274-5377
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS61985183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist