Organization
LARRY'S DRIVE IN PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY E BOWEN (OWNER)
(304) 369-0209
Entity
Organization
Contact information
Practice address
313 MADISON AVE, MADISON, WV 25130-1510
(304) 369-0209
(304) 369-1994
Mailing address
313 MADISON AVE, MADISON, WV 25130-1510
(304) 369-0209
(304) 369-1994
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
SP0550784
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143286000
—
WV
Enumeration date
01/18/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us