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General NPI Number Information
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NPI Number | 1083317572
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Entity Type | Individual
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Provider Name | WILLIAM HARRIS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-7001
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Country | US
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Telephone | 765-461-6350
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Fax |
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Provider Business Mailing Address
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Address Line | 11816 CRESTVIEW BLVD
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City | KOKOMO
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State | IN
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Zip | 46901-9718
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Country | US
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Telephone | 765-461-6350
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number | 31376
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License Number State | NC
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