Individual
MR. LARRY LEE RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1700 W TOWNLINE ST, SUITE 3, CRESTON, IA 50801-1054
(641) 782-3511
(641) 782-3846
Mailing address
1700 W TOWNLINE ST, SUITE 3, CRESTON, IA 50801-1054
(641) 782-3511
(641) 782-3846
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14489
IA
Other
Enumeration date
09/23/2005
Last updated
07/08/2007
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