Individual
MR. JOSEPH ANTHONY LARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 S HEATON ST, KNOX, IN 46534-2311
(574) 772-4529
(574) 772-7962
Mailing address
1207 S HEATON ST, KNOX, IN 46534-2311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017681A
IN
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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