Provider Demographics
NPI:1730521048
Name:HARNISH, RIKI-LEIGH A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RIKI-LEIGH
Middle Name:A
Last Name:HARNISH
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 1:2670 HIGH BRASS TRL
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-8413
Mailing Address - Country:US
Mailing Address - Phone:843-222-3245
Mailing Address - Fax:
Practice Address - Street 1:1601 CHURCH ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-2959
Practice Address - Country:US
Practice Address - Phone:843-488-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-28
Last Update Date:2013-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist