MEDICARE: MR. HARRY L ALLBRIGHT RPH

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
1	183500000X	Pharmacist	22787	TX

General Provider Information

NPI Number	:	1144228552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HARRY L ALLBRIGHT RPH

Provider Business Mailing Address
First Line	:	2591 FM 3053
Second Line	:
City	:	KILGORE
State	:	TX
Zip	:	75662-8490
Country	:	US
Telephone Number	:	903-918-0396
Fax Number	:	903-984-0836

Provider Business Practice Location Address
First Line	:	2591 FM 3053
Second Line	:
City	:	KILGORE
State	:	TX
Zip	:	75662-8490
Country	:	US
Telephone Number	:	903-918-0396
Fax Number	:	903-984-0836

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	07/08/2007

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