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General NPI Number Information
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NPI Number | 1295296614
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Entity Type | Organization
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Legal Business Name | HARRISON FAMILY PHARMACY, P.L.L.C.
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 2323 N HIGHWAY 229 STE A
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City | BENTON
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State | AR
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Zip | 72015-7202
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Country | US
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Telephone | 870-919-4636
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 N HIGHWAY 229 STE A
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City | BENTON
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State | AR
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Zip | 72015-7202
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Country | US
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Telephone | 501-794-6338
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Fax | 501-794-6348
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Authorized Official
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Title or Position | PHARMACIST
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Name | RAY BOB HARRISON
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Credential | PHARM. D
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Telephone | 870-919-4636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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