LARRY WAYNE FANGSRUD

HAVRE, MT
NPI1093952095
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MT  2784)
Enumeration Date2009-01-13
Last Update Date2009-01-13
Business Address
-- LARRY WAYNE FANGSRUD rph
3180 HWY 2 W KMART PHARMACY
HAVRE, MT 59501
Phone number: 406-265-1854
Mailing Address
-- LARRY WAYNE FANGSRUD rph
6962 1ST ST W
HAVRE, MT 59501-5702
Phone number: 406-265-2031
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