NPI 1902140817

Larry James Hall, RPH

Practitioner Pharmacist Humboldt, IA

Practice location

Address: 1000 15th St N, Humboldt, IA 50548-1008
Phone: (515) 332-7605
Fax: (515) 332-7607

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 18147 (IA)

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Registry record

NPI: 1902140817
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.