Larenda INC

NPI #1447320734 in Rusk, Texas

Provider Information

NPI Number
1447320734
Entity Type
Organization
Organization Name
Larenda INC
Primary Specialty
Pharmacy
Enumeration Date
Nov 8, 2006
Last Updated
Jun 1, 2009

Practice Location

Address
156 W 5TH ST
City
Rusk
State
Texas
ZIP Code
75785-1218
Phone
(903) 683-5436

Authorized Official

Name
LARRY MADISON MOZINGO, RPH
Title
PRESIDENT , PHARMACIST IN CHARGE
Phone
(903) 683-5436

Specialties & Taxonomy Codes

Specialty
Pharmacy

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