Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1851485809


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

HARRIS PHARMACY INC.

Organization Subpart: NO

NPI: 1851485809
Last Updated: 2019-07-12
Certification Date:

Details

NameValue
NPI1851485809
Enumeration Date2006-10-03
NPI TypeNPI-2 Organization
StatusActive
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:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMO608183109
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 3336L0003X - Pharmacy - Long Term Care Pharmacy
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyMO5953