Individual
MS. EILEEN AGNES HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
939 N WISCONSIN ST, ELKHORN, WI 53121-4541
(262) 723-5055
Mailing address
213 N CHURCH ST, ELKHORN, WI 53121-1203
(262) 374-0646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11160-40
WI
Other
Enumeration date
02/06/2021
Last updated
02/06/2021
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