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Individual
KIMBERLY C HARRISON
Active
Individual
KIMBERLY C HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15916-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15916-40
RPH LICENSE
WI
Enumeration date
07/23/2010
Last updated
08/11/2017
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