Provider Demographics
NPI:1841529393
Name:HARPER, STEPHEN JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:HARPER
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 S MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3724
Mailing Address - Country:US
Mailing Address - Phone:847-680-8300
Mailing Address - Fax:847-816-0488
Practice Address - Street 1:1300 S MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3724
Practice Address - Country:US
Practice Address - Phone:847-680-8300
Practice Address - Fax:847-816-0488
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.292485183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist