Larry Rupert

NPI 1124673496 · on the registry since 2019

Practice

Address: 1049 Shoemaker St
Nanty Glo, PA 15943
Phone: (814) 419-6717
Organisation at this address: Mainline Cpl, Llc
Mainline Pharmacy Ebensburg, Llc
Mainline Compounding & Infusion Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania