Individual
MR. LARRY WALLACE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13700 HULL STREET RD, MIDLOTHIAN, VA 23112-2000
(804) 739-8411
Mailing address
11901 WOODBLUFF CT, CHESTERFIELD, VA 23838-5606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202004820
VA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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