Individual
DR. ETHAN A HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2211
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03237422
OH
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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