Individual
LARRY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
170 LEONTYNE PRICE BLVD, LAUREL, MS 39440-4428
(601) 428-5977
Mailing address
PO BOX 4111, LAUREL, MS 39441-4111
(601) 428-5977
(601) 518-5306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E06159
MS
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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