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Individual
MR. LARRY DAVID CARRUTH JR.
Active
Individual
MR. LARRY DAVID CARRUTH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14547
NC
183500000X
Pharmacist
7720
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14547
NC LICENSE NUMBER
NC
01
—
7720
SC LICENSE NUMBER
SC
Enumeration date
10/09/2007
Last updated
10/09/2007
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