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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