Individual
LARRY DEAN HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2622 BROADWAY AVE, SLAYTON, MN 56172-1312
(507) 836-6159
(507) 836-8753
Mailing address
2622 BROADWAY AVE, SLAYTON, MN 56172-1312
(507) 836-6159
(507) 836-8753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111633
MN
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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