Individual
DR. DERRICK LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1905 N JACKSON ST, SUITE #500, TULLAHOMA, TN 37388-2200
(931) 454-0482
Mailing address
1905 N JACKSON ST, SUITE #500, TULLAHOMA, TN 37388-2200
(931) 454-0482
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36969
TN
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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