Individual
KIM HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PD
Contact information
Practice address
168 WALMART DR, FLIPPIN, AR 72634-8660
(870) 453-8831
(870) 453-8989
Mailing address
168 WALMART DR, FLIPPIN, AR 72634-8660
(870) 453-8831
(870) 453-8989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
AR07252
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477570976
NO IDEA
AR
Enumeration date
11/23/2020
Last updated
11/23/2020
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