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Individual

MR. LARRY EMMETT RAPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
155 NORTH ST, NEW MARTINSVILLE, WV 26155-1330
(304) 455-2171
Mailing address
37376 FIFTH AVE, PO BOX 246, SARDIS, OH 43946-0246
(740) 483-1977

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4555
WV

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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