Larry V Davison R. PH.

NPI 1104034446 - Pharmacist - 183500000X

NPI Details
NPI 1104034446
Gender Male
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1600 N 2ND ST
CLINTON MO, 64735-1192, US
Phone (660) 885-5511
Fax
Business Location
800 W JEFFERSON ST
CLINTON MO, 64735-1939, US
Phone (660) 885-5511
Fax
Toxanomy
Taxonomy Code 183500000X
License State Kansas
License Number 09115
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According to our database, Mr. Larry V Davison R. PH. NPI is 1104034446, taxonomy code is 183500000X and license number is 09115, license state is located at Kansas. Larry V Davison R. PH. physically located at 1600 N 2nd St, Clinton MO, 64735-1192. NPI Number Larry V Davison R. PH. has the Individual type.

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1104034446 NPI number is provided on an as is basis without warranty of any kind. 1104034446 is maintained by the National Plan & Provider Enumeration System. The contents of Larry V Davison R. PH. are for informational purposes only.