Healthcare Provider Details

I. General information

NPI: 1407785108
Provider Name (Legal Business Name): EMILY HARRISON PHARMD
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5429 FIELDSTONE CT
BRIGHTON MI
48116-9191
US

IV. Provider business mailing address

5429 FIELDSTONE CT
BRIGHTON MI
48116-9191
US

V. Phone/Fax

Practice location:
  • Phone: 989-798-0892
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302416122
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: