Individual
MRS. CONNIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1802 S BUSINESS 54, ELDON, MO 65026-1786
(573) 392-1936
(573) 392-6740
Mailing address
PO BOX 617, LAKE OZARK, MO 65049
(573) 392-1936
(573) 392-6740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042527
MO
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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