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NPI Code Detail

MEDICARE: DR. HARRISON CORNELIUS WARD PHARMD

MEDICARE: DR. HARRISON CORNELIUS WARD PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP00008945NM

General Provider Information

NPI Number : 1346728144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HARRISON CORNELIUS WARD PHARMD
Provider Business Mailing Address
First Line : 2551 E LOHMAN AVE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8233
Country : US
Telephone Number : 575-521-9841
Fax Number :
Provider Business Practice Location Address
First Line : 2551 E LOHMAN AVE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8233
Country : US
Telephone Number : 575-521-9841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2018
Last Update Date : 08/02/2018

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