Individual
DAVID VERNON LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
31236 N TRAIL DUST DR, SAN TAN VALLEY, AZ 85143-4139
(480) 459-1739
(480) 457-1089
Mailing address
31236 N TRAIL DUST DR, SAN TAN VALLEY, AZ 85143-4139
(480) 459-1739
(480) 457-1089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009242
AZ
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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