Individual
MR. LARRY LEE OSENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6130 HIGHWAY 49 S, HATTIESBURG, MS 39401
(601) 545-6959
Mailing address
57 MONROE PEARCE DR, RICHTON, MS 39476
(601) 549-0576
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-09899
MS
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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