Individual
MR. LARRY G HASKINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6336
Mailing address
1085 SPRING VALLEY DR, FLORISSANT, MO 63033-3351
(314) 837-7627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028807
MO
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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