Individual
LARRY EUGENE HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
636 FRANKLIN ST, NATCHEZ, MS 39120-3312
(601) 442-7611
(601) 442-0664
Mailing address
636 FRANKLIN ST, NATCHEZ, MS 39120-3312
(601) 442-7611
(601) 442-0664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
01732011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00035122
—
MS
01
—
1528170529
PHARMACY NPI#
MS
01
—
2501268
NABP#
MS
Enumeration date
05/21/2007
Last updated
07/08/2007
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