Individual
ANTHONY LAROUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 HANCOCK ST STE 100, SAGINAW, MI 48602-4224
(989) 793-3130
Mailing address
500 HANCOCK ST STE 100, SAGINAW, MI 48602-4224
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
5302032931
MI
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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