Individual
MR. LARRY DONNELL PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
49 N FLORISSANT RD, FERGUSON, MO 63135-2331
(314) 521-1071
Mailing address
9407 EASTCHESTER DR, SAINT LOUIS, MO 63136-5115
(314) 869-5011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043686
MO
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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