Individual
MR. LARRY KEITH BOYETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
MT. VERNON PHARMACY, 19390 HWY 43 & MILDRED ST., MT. VERNON, AL 36560
(251) 829-6628
Mailing address
11336 OLD HIGHWAY 43, AXIS, AL 36505-4600
(251) 675-5185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10148
AL
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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