Individual
KATIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 CENTRALIA RD, CHESTERFIELD, VA 23832-6523
(804) 796-9084
Mailing address
6400 CENTRALIA RD, CHESTERFIELD, VA 23832-6523
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206270
VA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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