Individual
MR. LARRY HASTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
13500 HIGHWAY 90, BOUTTE, LA 70039-3500
(985) 331-1866
Mailing address
13500 HIGHWAY 90, BOUTTE, LA 70039-3500
(985) 331-1866
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10471
LA
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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