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NPI Code Detail

MEDICARE: ANTHONY HARRIS PHARMD., RPH

MEDICARE: ANTHONY HARRIS PHARMD., 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
1183500000XPharmacist75178TX

General Provider Information

NPI Number : 1417765835
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY HARRIS PHARMD., RPH
Provider Business Mailing Address
First Line : 2400 OLD SOUTH DR APT 3923
Second Line :
City : RICHMOND
State : TX
Zip : 77406-6666
Country : US
Telephone Number : 832-520-8784
Fax Number :
Provider Business Practice Location Address
First Line : 361 INTEGRITY DR
Second Line :
City : MADISON
State : WI
Zip : 53717-1416
Country : US
Telephone Number : 608-820-4197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2024
Last Update Date : 12/19/2024

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