Individual
BRIAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 W MAIN ST, FREEHOLD, NJ 07728-2519
(732) 462-5841
Mailing address
8 PHILLIPS MILLS DR, NORTH MIDDLETOWN, NJ 07748-5177
(908) 461-5969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03585200
NJ
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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