Provider Information for 1851485809
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HARRIS PHARMACY INC.
Organization Subpart: NO
NPI: 1851485809
Last Updated: 2019-07-12
Certification Date:
Certification Date:
Details
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NPI | 1851485809 | ||||||||||||
Enumeration Date | 2006-10-03 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: Mr. DARREN K HARRIS R.Ph. Title: Owner Phone: 5738886006 | ||||||||||||
Mailing Address | 1224 FIRST ST KENNETT, MO 63857-2526 United States Phone: 573-888-6006 | Fax: | ||||||||||||
Primary Practice Address | 1224 FIRST ST KENNETT, MO 63857-2526 United States Phone: 573-888-6006 | Fax: | ||||||||||||
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