Individual
BRYAN WILLIAM HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
514 S. OKLAHOMA CUTOFF, BURKBURNETT, TX 76354
(940) 569-5600
(940) 569-5608
Mailing address
514 SOUTH OKLAHOMA CUTOFF, BURKBURNETT, TX 76354
(940) 569-5600
(940) 569-5608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13702
OK
183500000X
Pharmacist
Primary
43789
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/21/2019
Last updated
08/21/2019
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