Individual
ANGELIQUE ROSE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
15 PARK AVE, CLIFTON PARK, NY 12065-2927
(518) 383-6780
(866) 301-3492
Mailing address
4 BARNUM LN, MECHANICVILLE, NY 12118-3734
(518) 502-3795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
069465
NY
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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