Healthcare Provider Details
I. General information
NPI: 1346556677
Provider Name (Legal Business Name): CHAUNTE FRANCINE HARRIS PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/24/2010
Last Update Date: 05/20/2022
Certification Date: 05/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9649 BELAIR ROAD SUITE 202
BALTIMORE MD
21236-1116
US
IV. Provider business mailing address
9649 BELAIR ROAD SUITE 202
BALTIMORE MD
21236-1116
US
V. Phone/Fax
- Phone: 410-237-6904
- Fax: 410-237-6912
- Phone: 410-237-6904
- Fax: 410-237-6912
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP442033 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 17408 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: