Individual
LARRON STANLEY DOLENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1090 GOAT SPRINGS ROAD, TAOS, NM 87571-1946
(575) 758-6990
(575) 751-5210
Mailing address
101 N FORK RD, LANDER, WY 82520-9126
(307) 335-4120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15832
CO
183500000X
Pharmacist
3142
WY
Other
Enumeration date
07/18/2006
Last updated
11/21/2019
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