Provider Demographics
NPI:1902867518
Name:DENT, LARRY A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:A
Last Name:DENT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6321 HILLVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-3374
Mailing Address - Country:US
Mailing Address - Phone:406-544-0476
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MONTANA SCHOOL OF PHARMACY
Practice Address - Street 2:32 CAMPUS DR., #1522
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59812-0001
Practice Address - Country:US
Practice Address - Phone:406-243-4631
Practice Address - Fax:406-243-4353
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT38171835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy