Larry Wayne Fangsrud, RPH

NPI #1093952095 in Havre, Montana

Provider Information

NPI Number: 1093952095
Entity Type: Individual
Name: Larry Wayne Fangsrud, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jan 13, 2009
Last Updated: Jan 13, 2009

Practice Location

Address: 3180 HWY 2 W
Address 2: KMART PHARMACY
City: Havre
State: Montana
ZIP Code: 59501
Phone: (406) 265-1854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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