Provider Demographics
NPI:1952700999
Name:HARRIS, LINDI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDI
Middle Name:
Last Name:HARRIS
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 1:825 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4427
Mailing Address - Country:US
Mailing Address - Phone:301-562-5414
Mailing Address - Fax:301-562-5419
Practice Address - Street 1:825 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4427
Practice Address - Country:US
Practice Address - Phone:301-562-5414
Practice Address - Fax:301-562-5419
Is Sole Proprietor?:No
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist