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1073701561
LARRY DAVID CARRUTH
MOORESVILLE, NC
NPI
1073701561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 14547)
Additional Taxonomies
183500000X Pharmacist
(Licence: SC 7720)
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
Mr. LARRY DAVID CARRUTH R.PH.
798 OAK RIDGE FARM HWY SUITE C
MOORESVILLE, NC 28115-7923
Phone number: 704-658-9814
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Mailing Address
Mr. LARRY DAVID CARRUTH R.PH.
121 SEABURY DR
MOORESVILLE, NC 28117-6045
Phone number: 704-904-5319
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