Individual
MARY B HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 NW 86TH ST, JOHNSTON, IA 50131-1737
(515) 331-0300
Mailing address
8009 GOODMAN DR, URBANDALE, IA 50322-7318
(515) 276-0762
(515) 252-9997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14968
IA
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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