Provider Demographics
NPI:1245337294
Name:DARBY, HAROLD CRAIG (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:CRAIG
Last Name:DARBY
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7708 VOLGA AVE
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-9508
Mailing Address - Country:US
Mailing Address - Phone:903-334-7289
Mailing Address - Fax:
Practice Address - Street 1:5001 N STATE LINE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2989
Practice Address - Country:US
Practice Address - Phone:800-785-4197
Practice Address - Fax:903-735-4011
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist