Provider Demographics
NPI:1538416417
Name:HARMON, DANIEL LAMAR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:LAMAR
Last Name:HARMON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12058 W SKINNER DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-2413
Mailing Address - Country:US
Mailing Address - Phone:602-471-7079
Mailing Address - Fax:
Practice Address - Street 1:12244 W CACTUS RD
Practice Address - Street 2:
Practice Address - City:EL MIRAGE
Practice Address - State:AZ
Practice Address - Zip Code:85335-2399
Practice Address - Country:US
Practice Address - Phone:623-876-1620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist