Provider Demographics
NPI:1831462480
Name:LABOVE, LARRY D (RPH)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:D
Last Name:LABOVE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:112 S COLLEGE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4502
Mailing Address - Country:US
Mailing Address - Phone:281-593-0796
Mailing Address - Fax:281-593-2521
Practice Address - Street 1:112 S COLLEGE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4502
Practice Address - Country:US
Practice Address - Phone:281-593-0796
Practice Address - Fax:281-593-2521
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19777183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist