LARRY V DAVISON

CLINTON, MO
NPI1104034446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  28369)
Additional Taxonomies183500000X Pharmacist
(Licence: KS  09115)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
Mr. LARRY V DAVISON R. Ph.
1600 N 2ND ST
CLINTON, MO 64735-1192
Phone number: 660-885-5511
Mailing Address
Mr. LARRY V DAVISON R. Ph.
800 W JEFFERSON ST
CLINTON, MO 64735-1939
Phone number: 660-885-5511
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