Larry's Family Pharmacy, Inc.

NPI 1215035969 - Pharmacist - 183500000X

NPI Details
NPI 1215035969
Enumeration Date 09/20/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARRY LARRY
Position OWNER PHARMACIST
Phone (208) 852-0163
Fax (208) 852-1847
Practice Location
217 SOUTH STATE ST.
PRESTON ID, 83263, US
Phone (208) 852-0163
Fax (208) 852-1847
Business Location
217 SOUTH STATE ST.
PRESTON ID, 83263, US
Phone (208) 852-0163
Fax (208) 852-1847
Toxanomy
Taxonomy Code 183500000X
License State Idaho
License Number 1336CP
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According to our database, Larry's Family Pharmacy, Inc. NPI is 1215035969, taxonomy code is 183500000X and license number is 1336CP, license state is located at Idaho. Larry's Family Pharmacy, Inc. physically located at 217 South State St., Preston ID, 83263. NPI Number 1033115704 has the healthcare provider type.

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1215035969 NPI number is provided on an as is basis without warranty of any kind. 1215035969 is maintained by the National Plan & Provider Enumeration System. The contents of Larry's Family Pharmacy, Inc. are for informational purposes only.