Larry D Gudgel, PHARM.D. Valid NPI
Individual provider · Pharmacotherapy Pharmacist · Apo, AE
- NPI
- 1053392290
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacotherapy Pharmacist (Pharmacist)
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 1835P1200X
- License number
- 10049 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-11-07
- Last updated
- 2007-07-08
Practice location
Unit 5210, Box 230
Apo, AE 09461
011441638528302