Provider Demographics
NPI:1790276103
Name:HARRIS APOTHECARIES LLC
Entity Type:Organization
Organization Name:HARRIS APOTHECARIES LLC
Other - Org Name:FRANKLIN DRUG
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS OCKINGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-289-3441
Mailing Address - Street 1:317 N WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:RED CLOUD
Mailing Address - State:NE
Mailing Address - Zip Code:68970-2549
Mailing Address - Country:US
Mailing Address - Phone:402-746-3335
Mailing Address - Fax:402-746-3355
Practice Address - Street 1:635 15TH AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NE
Practice Address - Zip Code:68939-1509
Practice Address - Country:US
Practice Address - Phone:308-425-3004
Practice Address - Fax:308-425-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-21
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2177963OtherPK
NE10026480901Medicaid