DR. Theodore Garrett Larew

NPI #1154669422 in Loganville, Georgia

Provider Information

NPI Number: 1154669422
Entity Type: Individual
Name: DR. Theodore Garrett Larew
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 22, 2013
Last Updated: Jan 23, 2013

Practice Location

Address: 4357 BEAVER POND CT
City: Loganville
State: Georgia
ZIP Code: 30052-8136
Phone: (770) 682-2433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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