Individual
ROSS ALAN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
849 WOODWARD AVE, CHIPPEWA FALLS, WI 54729-3362
(715) 726-8540
(715) 720-0264
Mailing address
4272 119TH ST, CHIPPEWA FALLS, WI 54729-5677
(715) 861-3158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13956-040
WI
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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