Individual
MR. LARRY ROY THOMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
104 S 6TH ST, GURDON, AR 71743-2102
(870) 353-9900
Mailing address
PO BOX 244, GURDON, AR 71743-0244
(870) 403-1586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD05954
AR
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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