Individual
MS. DEATRA LA VERNE HARBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
298 PERKINS AVE, VALDESE, NC 28690
(828) 580-5460
Mailing address
2706 NC HWY 126, MORGANTON, NC 28655-8264
(828) 548-0085
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
10935
NC
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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