Provider Demographics
NPI:1215124961
Name:HARRIS, SHEILA D (RPH)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:D
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2562 BRETON CT
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-2096
Mailing Address - Country:US
Mailing Address - Phone:833-252-8735
Mailing Address - Fax:678-609-7007
Practice Address - Street 1:2562 BRETON CT
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-2096
Practice Address - Country:US
Practice Address - Phone:833-252-8735
Practice Address - Fax:678-609-7007
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2019-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH015386183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARPH015386OtherLICENSE