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NPI Code Detail

MEDICARE: HARRIS APOTHECARIES LLC

MEDICARE: HARRIS APOTHECARIES LLC
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
13336C0003XCommunity/Retail Pharmacy3054NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22151425OTHERPK

General Provider Information

NPI Number : 1215985916
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARRIS APOTHECARIES LLC
Provider Business Mailing Address
First Line : 317 N WEBSTER ST
Second Line :
City : RED CLOUD
State : NE
Zip : 68970-2549
Country : US
Telephone Number : 402-746-3335
Fax Number : 402-746-3355
Provider Business Practice Location Address
First Line : 317 N WEBSTER ST
Second Line :
City : RED CLOUD
State : NE
Zip : 68970
Country : US
Telephone Number : 402-746-3335
Fax Number : 407-746-3355
Authorized Official
Title or Position : OWNER
Name : HEATHER HARRIS
Credential : PHARMD
Telephone Number : 308-289-3441
Provider Enumeration Date : 05/04/2006
Last Update Date : 08/02/2018

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Directions to “HARRIS APOTHECARIES LLC ” Practice Location

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