MEDICARE: MR. RICHARD L. HARMON PD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PD07854	AR

General Provider Information

NPI Number	:	1396818886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD L. HARMON PD

Provider Business Mailing Address
First Line	:	12819 HIGHWAY 154
Second Line	:
City	:	DANVILLE
State	:	AR
Zip	:	72833-6711
Country	:	US
Telephone Number	:	479-495-3135
Fax Number	:	479-331-4003

Provider Business Practice Location Address
First Line	:	8880 MARKET ST
Second Line	:	BOX 335
City	:	DOVER
State	:	AR
Zip	:	72837-9111
Country	:	US
Telephone Number	:	479-331-2133
Fax Number	:	479-331-4003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

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