Individual
DOUGLAS ALLEN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
16151 TRAINHAM RD, BEAVERDAM, VA 23015-1301
(804) 449-6333
Mailing address
15187 STONE HORSE CREEK RD, GLEN ALLEN, VA 23059-1517
(804) 749-8623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006176
VA
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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