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Individual

ANNE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
59 BAYPOINT CT, MOUNTAIN HOME, AR 72653
(870) 706-0204
Mailing address
59 BAYPOINT CT, MOUNTAIN HOME, AR 72653
(870) 706-0204

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11099
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203883
NAPB
AR
01
PD11099
PHARMACIST LICENSE
AR
Enumeration date
11/19/2012
Last updated
11/19/2012
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