Organization
HARRIS DRUG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN LEE HARRIS RPH (PRESIDENT)
(712) 464-3165
Entity
Organization
Contact information
Practice address
121 EAST MAIN ST., LAKE CITY, IA 51449
(712) 464-3165
(712) 464-3165
Mailing address
121 EAST MAIN ST., PO BOX 113, LAKE CITY, IA 51449
(712) 464-3165
(712) 464-3165
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
739
IA
3336L0003X
Long Term Care Pharmacy
739
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006015
—
IA
Enumeration date
10/03/2006
Last updated
01/15/2019
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