DR. Jacob R Larue, PHARM.D., CGP, FASCP
NPI #1093064644 in St. Charles, Missouri
Provider Information
- NPI Number
- 1093064644
- Entity Type
- Individual
- Name
- DR. Jacob R Larue, PHARM.D., CGP, FASCP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARM.D., CGP, FASCP
- Enumeration Date
- Aug 29, 2012
- Last Updated
- Aug 29, 2012
Practice Location
- Address
- 3271 SIMEON BUNKER STREET
- City
- St. Charles
- State
- Missouri
- ZIP Code
- 63301-8135
- Phone
- (573) 220-1208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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