Individual
LARRY RABORN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9082 MOFFETT RD, SEMMES, AL 36575-5242
(251) 649-0663
Mailing address
4072 FENWICK LOOP, MOBILE, AL 36619-1238
(251) 533-2413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12596
AL
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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