Provider Demographics
NPI:1952477713
Name:HARRINGTON, KENNETH H (RPH)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:H
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 N FOCH ST
Mailing Address - Street 2:
Mailing Address - City:TRUTH OR CONSEQUENCES
Mailing Address - State:NM
Mailing Address - Zip Code:87901-1629
Mailing Address - Country:US
Mailing Address - Phone:505-894-6583
Mailing Address - Fax:
Practice Address - Street 1:825 N FOCH ST
Practice Address - Street 2:
Practice Address - City:TRUTH OR CONSEQUENCES
Practice Address - State:NM
Practice Address - Zip Code:87901-1629
Practice Address - Country:US
Practice Address - Phone:505-894-6583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP 3528183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist