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Individual
LARRY JASON BREAKFIELD
Active
Individual
LARRY JASON BREAKFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
26028850A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
44424
TN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P9498
ID
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH61207541
WA
Other
Enumeration date
07/23/2020
Last updated
09/27/2025
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