Provider Demographics
NPI:1528477866
Name:HARP, ANDREW (PHARM D)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:HARP
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-1222
Mailing Address - Country:US
Mailing Address - Phone:501-374-6565
Mailing Address - Fax:501-374-6231
Practice Address - Street 1:1801 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-1222
Practice Address - Country:US
Practice Address - Phone:501-374-6565
Practice Address - Fax:501-374-6231
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD11620183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist