Individual
MR. LARRY LEE KRUTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
101 N WOODLAWN AVE, LAKE CITY, IA 51449-1723
(712) 464-8811
(712) 464-8614
Mailing address
902 N HANCOCK ST, LAKE CITY, IA 51449-1446
(712) 464-3036
(712) 464-8614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14637
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14637
LICENSE NUMBER
IA
Enumeration date
03/29/2007
Last updated
07/08/2007
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