Provider Demographics
NPI:1841437746
Name:HARRIS-ELLIS, JAI LINDSEY (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:JAI
Middle Name:LINDSEY
Last Name:HARRIS-ELLIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 N PRESTON
Mailing Address - Street 2:STE 210
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009
Mailing Address - Country:US
Mailing Address - Phone:972-382-2832
Mailing Address - Fax:972-382-2850
Practice Address - Street 1:701 N PRESTON RD
Practice Address - Street 2:STE 210
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-3763
Practice Address - Country:US
Practice Address - Phone:972-382-2832
Practice Address - Fax:972-382-2850
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist