Individual
MR. LARRY JAMES SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1525 S POWER RD, MESA, AZ 85206-3707
(480) 951-5633
(480) 951-5633
Mailing address
1525 S POWER RD, MESA, AZ 85206-3707
(480) 951-5633
(480) 951-5633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015934
AZ
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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