Individual
JASON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 W 23RD ST, LAWRENCE, KS 66046-4412
(785) 841-5110
Mailing address
1015 W 23RD ST, LAWRENCE, KS 66046-4412
(785) 841-5110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12541
KS
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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