Organization
HARRISON PHARMACY INC
Active
Organization
HARRISON PHARMACY INC
Active
Other names
HARRISON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HARRISON PHARMD (SEC. PIC, AO)
(270) 487-6408
Entity
Organization
Contact information
Practice address
606 N MAIN ST, TOMPKINSVILLE, KY 42167-1128
(270) 487-6408
(270) 487-6409
Mailing address
PO BOX 416, TOMPKINSVILLE, KY 42167-0416
(270) 487-6408
(270) 487-6409
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PO2555
KY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2031863
PK
—
05
—
54029277
—
KY
Enumeration date
10/18/2006
Last updated
09/23/2015
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