Individual
KENYA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 BENNS CHURCH BLVD, SMITHFIELD, VA 23430-6063
(757) 357-3254
Mailing address
1200 BENNS CHURCH BLVD, SMITHFIELD, VA 23430-6063
(901) 230-2955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213418
VA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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