DR. Larry Jack New JR.

NPI #1093060568 in Williamson, West Virginia

Provider Information

NPI Number
1093060568
Entity Type
Individual
Name
DR. Larry Jack New JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jul 19, 2012
Last Updated
Jul 19, 2012

Practice Location

Address
210 LOGAN ST
ZIP Code
25661-3608
Phone
(304) 235-3535

Specialties & Taxonomy Codes

Specialty
Pharmacist

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