Individual
MRS. TERESA L HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. PH
Contact information
Practice address
11312 HIGHWAY 49 STE H, GULFPORT, MS 39503-3087
(228) 832-0051
(228) 832-0168
Mailing address
5149 BEATLINE RD, LONG BEACH, MS 39560-3858
(228) 865-9537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6650
MS
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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