Kruthoff, Larry Lee

Kruthoff, Larry Lee is an sole proprietor health care provider with primary practice located at 101 N Woodlawn Ave , Lake City IA 51449-1723. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kruthoff, Larry Lee can be contacted via phone (712) 464-8811.

Contact Information

Primary practice address
101 N Woodlawn Ave Lake City IA 51449-1723
Phone: (712) 464-8811
Fax: (712) 464-8614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 14637 Iowa

Profile Details

NPI number 1265552061
LBN Legal business name Kruthoff, Larry Lee
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 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 1265552061 NPPES
Iowa Other 14637 LICENSE NUMBER

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