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Organization

HARRIS PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARREN KEITH HARRIS R.PH. (OWNER)
(573) 888-6006
Entity
Organization

Contact information

Practice address
1224 FIRST STREET, KENNETT, MO 63857-2526
(573) 888-6006
Mailing address
1224 FIRST STREET, KENNETT, MO 63857-2526
(573) 888-6006

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5953
MO
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
628183105
MO
Enumeration date
03/06/2007
Last updated
07/12/2019
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