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Contact Information

HARRIS DRUG, INC.
121 EAST MAIN ST.
LAKE CITY, IA51449
 Phone: 712-464-3165
 Fax: 712-464-3165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HARRIS DRUG, INC.

NPI # 1184719767
LBN Legal business name HARRIS DRUG, INC.
Authorized official STEPHEN HARRIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 01/15/2019 - About 7 years ago
Identifiers
IA License # 739
IA Medicaid 0006015
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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