Provider Demographics
NPI:1184826612
Name:LARCORP INC.
Entity type:Organization
Organization Name:LARCORP INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUST
Authorized Official - Middle Name:W
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:PD, RPH
Authorized Official - Phone:636-274-3800
Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:7042 STATE ROAD BB
Mailing Address - City:CEDAR HILL
Mailing Address - State:MO
Mailing Address - Zip Code:63016-0419
Mailing Address - Country:US
Mailing Address - Phone:636-274-3800
Mailing Address - Fax:636-285-4401
Practice Address - Street 1:7042 STATE RD BB
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:MO
Practice Address - Zip Code:63016
Practice Address - Country:US
Practice Address - Phone:636-274-3800
Practice Address - Fax:636-285-4401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies