MEDICARE: CRAIG HARMON R.PH.

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	7449	SC

General Provider Information

NPI Number	:	1417332925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG HARMON R.PH.

Provider Business Mailing Address
First Line	:	1856 S LAKE DR STE K
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29073-7225
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1856 S LAKE DR STE K
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29073-7225
Country	:	US
Telephone Number	:	803-399-7701
Fax Number	:	803-399-7702

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

Provider Enumeration Date	:	07/25/2015
Last Update Date	:	07/25/2015

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