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Contact Information

LARRY W FANGSRUD, RPH
3180 HWY 2 W
KMART PHARMACY
HAVRE, MT59501
 Phone: 406-265-1854
 Fax: 406-265-4647
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for LARRY W FANGSRUD · (Male)

NPI # 1093952095
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 01/13/2009
Last updated 01/13/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 2784
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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