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LEONARD DANIEL HARRIS

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1821187949

Individual Registrant:
 LEONARD DANIEL HARRIS 
Gender: M
Sole Proprietor

Location and contact information for practice:
419 RAVEN RD  RAVEN, VA 24639 US
Tel: 276-964-9095  Fax: 276-963-9395

Contact information for business:
314 LEE ST  RICHLANDS, VA 24641-2428 US
Tel: 276-963-3285  Fax: --

Registration Information:
NPI: 1821187949
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
VA0202004234

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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