Ida Misty Nicole Harris, PHARM D
NPI #1609154913 in Bluefield, West Virginia
Provider Information
- NPI Number
- 1609154913
- Entity Type
- Individual
- Name
- Ida Misty Nicole Harris, PHARM D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARM D
- Enumeration Date
- Aug 3, 2011
- Last Updated
- Aug 3, 2011
Practice Location
- Address
- 4248 COAL HERITAGE RD
- City
- Bluefield
- State
- West Virginia
- ZIP Code
- 24701-9190
- Phone
- (304) 589-6868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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