MR. Willie Cleo Harris JR.

NPI #1942396569 in Jackson, Michigan

Provider Information

NPI Number: 1942396569
Entity Type: Individual
Name: MR. Willie Cleo Harris JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: VA MEDICAL CENTER PHARMACY
Address 2: 1500 E WOODROW WILSON AVE
City: Jackson
State: Michigan
ZIP Code: 39216-5199
Phone: (601) 364-1556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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