Individual
KENNA RACHELLE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6401 GEORGIANA CT, GRANBURY, TX 76049-4103
(817) 992-8632
Mailing address
6401 GEORGIANA CT, GRANBURY, TX 76049-4103
(817) 992-8632
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
33345
TX
Other
Enumeration date
08/13/2020
Last updated
08/14/2020
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