Individual
LARRY D SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3076 TOM TOM DR, LAKE HAVASU CITY, AZ 86406-8630
(618) 322-3483
Mailing address
3076 TOM TOM DR, LAKE HAVASU CITY, AZ 86406-8630
(618) 322-3483
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
051.028931
IL
1835P1200X
Pharmacotherapy Pharmacist
17666
NV
1835P1200X
Pharmacotherapy Pharmacist
Primary
S017258
AZ
Other
Enumeration date
06/08/2013
Last updated
06/08/2013
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