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Individual

BRYAN DAVID HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
310 W MAIN ST, MALDEN, MO 63863-2116
(573) 281-6964
(573) 276-4785
Mailing address
310 W MAIN ST, MALDEN, MO 63863-2116
(573) 281-6964
(573) 276-4785

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042982
MO

Other

Enumeration date
08/28/2020
Last updated
08/28/2020
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