Harris, Willie Cleo

Harris, Willie Cleo is an sole proprietor health care provider with primary practice located at Va Medical Center Pharmacy 1500 E Woodrow Wilson Ave, Jackson MI 39216-5199. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Harris, Willie Cleo can be contacted via phone (601) 364-1556.

Contact Information

Primary practice address
Va Medical Center Pharmacy 1500 E Woodrow Wilson Ave Jackson MI 39216-5199
Phone: (601) 364-1556
Fax: (601) 364-1548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E-4082 Mississippi

Profile Details

NPI number 1942396569
LBN Legal business name Harris, Willie Cleo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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