Carruth, Larry David

Carruth, Larry David is an sole proprietor health care provider with primary practice located at 798 Oak Ridge Farm Hwy Suite C, Mooresville NC 28115-7923. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Carruth, Larry David can be contacted via phone (704) 658-9814.

Contact Information

Primary practice address
798 Oak Ridge Farm Hwy Suite C Mooresville NC 28115-7923
Phone: (704) 658-9814
Fax: (704) 658-0721
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 14547 North Carolina
Pharmacy Service Providers / Pharmacist 183500000X 7720 South Carolina

Profile Details

NPI number 1073701561
LBN Legal business name Carruth, Larry David
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073701561 NPPES
North Carolina Other 14547 NC LICENSE NUMBER
North Carolina Other 7720 NC LICENSE NUMBER

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