Larry Thomas IV

NPI #1902235229 in Keosauqua, Iowa

Provider Information

NPI Number: 1902235229
Entity Type: Individual
Name: Larry Thomas IV
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 7, 2013
Last Updated: Nov 7, 2013

Practice Location

Address: 601 1ST ST
City: Keosauqua
State: Iowa
ZIP Code: 52565-7701
Phone: (319) 293-3128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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