Individual
LARISSA WORSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 W HOSPITAL DR, WHITERIVER, AZ 85941
(928) 338-4911
Mailing address
11 CANTERBURY PINES DR, GORHAM, ME 04038-1647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0134733
VT
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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