Individual
LARRY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
173 MAIN STREET, CLAY, WV 25043
(304) 587-2224
(304) 587-7172
Mailing address
PO BOX 113, WALLBACK, WV 25285-0113
(304) 565-3336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0006477
WV
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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