Individual
MR. LARRY H PRUNTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
300 UNDERWOOD ST, MIDDLEBOURNE, WV 26149-9657
(304) 758-2816
(304) 758-4365
Mailing address
300 UNDERWOOD ST, MIDDLEBOURNE, WV 26149-9657
(304) 758-2816
(304) 758-4365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3852
WV
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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