Provider Demographics
NPI:1982604260
Name:LAROSE, DEBBIE HARRIS (RPH)
Entity Type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:HARRIS
Last Name:LAROSE
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 1:6820 FALLS CHURCH CT
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-3114
Mailing Address - Country:US
Mailing Address - Phone:251-626-9227
Mailing Address - Fax:
Practice Address - Street 1:123 JACKSON ST.
Practice Address - Street 2:
Practice Address - City:GROVE HILL
Practice Address - State:AL
Practice Address - Zip Code:36451
Practice Address - Country:US
Practice Address - Phone:251-275-3416
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist