Healthcare Provider Details

I. General information

NPI: 1407186646
Provider Name (Legal Business Name): MARSHA HARMON PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2010
Last Update Date: 09/23/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 N. MAIN STREET
TUBA CITY AZ
86045
US

IV. Provider business mailing address

PO BOX 600
TUBA CITY AZ
86045-0600
US

V. Phone/Fax

Practice location:
  • Phone: 928-283-2145
  • Fax: 928-283-1433
Mailing address:
  • Phone: 928-283-2145
  • Fax: 382-283-1433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS14196
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: