Provider Demographics
NPI:1588959142
Name:HARRIS-HAMILTON, MICHELLE ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANN
Last Name:HARRIS-HAMILTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MIDDLETON RD
Mailing Address - Street 2:T-1043
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2263
Mailing Address - Country:US
Mailing Address - Phone:410-297-8722
Mailing Address - Fax:410-297-8722
Practice Address - Street 1:1025 MIDDLETON RD
Practice Address - Street 2:T-1043
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2263
Practice Address - Country:US
Practice Address - Phone:410-297-8722
Practice Address - Fax:410-297-8722
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2011-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist