Provider Demographics
NPI:1811984289
Name:HARRIS, JULIE ROUSSELL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ROUSSELL
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:LINNETTE
Other - Last Name:ROUSSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:985 MACKEY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:OLD FORT
Mailing Address - State:NC
Mailing Address - Zip Code:28762-8779
Mailing Address - Country:US
Mailing Address - Phone:828-460-6388
Mailing Address - Fax:
Practice Address - Street 1:1211 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-6367
Practice Address - Country:US
Practice Address - Phone:828-659-9727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0221991835P1200X
NC178801835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy