Individual
BRYCE MICHAEL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
700 W MAIN ST, FAIRFIELD, IL 62837-2302
(618) 842-3784
(618) 842-7068
Mailing address
700 W MAIN ST, FAIRFIELD, IL 62837-2302
(618) 842-3784
(618) 842-7068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051297752
IL
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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