# HARRIS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336279645
- **Authorized official:** DARREN KEITH HARRIS R.PH. (OWNER)
- **Authorized official phone:** (573) 888-6006

## Contact information

- **Practice address:** 1224 FIRST STREET, KENNETT, MO 63857-2526
- **Practice address phone:** (573) 888-6006
- **Mailing address:** 1224 FIRST STREET, KENNETT, MO 63857-2526
- **Mailing address phone:** (573) 888-6006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 5953 | MO | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | — | — |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 07/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 628183105 | — | MO |
