Organization
LARSONS PRESCRIPTION PHARMACY INC
Active
Other names
LARSONS PRESCRIPTION PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY STAGGS (OWNER/PHARMACIST)
(940) 657-3210
Entity
Organization
Contact information
Practice address
502 S AVENUE F, KNOX CITY, TX 79529-2110
(940) 657-3210
(940) 657-3820
Mailing address
502 S AVENUE F, KNOX CITY, TX 79529-2110
(940) 657-3210
(940) 657-3820
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03847
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141245
—
TX
01
—
4545781
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/30/2005
Last updated
03/10/2011
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