Individual
KYLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
18433 N 19TH AVE, PHOENIX, AZ 85023-1359
(623) 582-9894
(623) 580-9188
Mailing address
18433 N 19TH AVE, PHOENIX, AZ 85023-1359
(623) 582-9894
(623) 580-9188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019870
AZ
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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