Provider Demographics
NPI:1447690698
Name:HARRISON, ELIZABETH LUCILLE (PHARM D)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LUCILLE
Last Name:HARRISON
Suffix:
Gender:F
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 1:8851 E TRENT AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2332
Mailing Address - Country:US
Mailing Address - Phone:509-924-9052
Mailing Address - Fax:509-924-6538
Practice Address - Street 1:8851 E TRENT AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2332
Practice Address - Country:US
Practice Address - Phone:509-924-9052
Practice Address - Fax:509-924-6538
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP6850183500000X
ORRPH-0014039183500000X
WAPH00063788183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist