Individual
MR. LARRY EUGENE HAWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1512 LINDEN LAKE RD, FORT COLLINS, CO 80524-2256
(970) 482-3654
Mailing address
1512 LINDEN LAKE RD, FORT COLLINS, CO 80524-2256
(970) 482-3654
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12695
CO
Other
Enumeration date
08/08/2010
Last updated
08/08/2010
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