MEDICARE: MR. HARRIS FRANKLIN ALLEN R.PH.

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	17505	NC

General Provider Information

NPI Number	:	1215946173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HARRIS FRANKLIN ALLEN R.PH.

Provider Business Mailing Address
First Line	:	178 FOREST WAY
Second Line	:
City	:	LAKE LURE
State	:	NC
Zip	:	28746-9795
Country	:	US
Telephone Number	:	828-625-0190
Fax Number	:

Provider Business Practice Location Address
First Line	:	276 NC HWY. 9
Second Line	:	INGLES PHARMACY # 127
City	:	LAKE LURE
State	:	NC
Zip	:	28746
Country	:	US
Telephone Number	:	828-625-0748
Fax Number	:

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	07/08/2007

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