IDA MISTY NICOLE HARRIS

BLUEFIELD, WV
NPI1609154913
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WV  0007393)
Enumeration Date2011-08-03
Last Update Date2011-08-03
Business Address
-- IDA MISTY NICOLE HARRIS PHARM D
4248 COAL HERITAGE RD
BLUEFIELD, WV 24701-9190
Phone number: 304-589-6868
Mailing Address
-- IDA MISTY NICOLE HARRIS PHARM D
PO BOX 29
BLUEFIELD, VA 24605-0029
Phone number: 304-922-1735
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