Provider Demographics
NPI:1932453644
Name:HARRIS, SHARI (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5615 OLD NATIONAL HWY STE B
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3817
Mailing Address - Country:US
Mailing Address - Phone:404-209-0070
Mailing Address - Fax:404-209-0071
Practice Address - Street 1:5615 OLD NATIONAL HWY
Practice Address - Street 2:B
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-3811
Practice Address - Country:US
Practice Address - Phone:404-209-0070
Practice Address - Fax:404-209-0071
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-01
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH014255183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist