Individual
CAROLYN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11305 W LINCOLN HWY, MOKENA, IL 60448-2070
(815) 277-0510
Mailing address
15642 TERRACE DR, OAK FOREST, IL 60452-2858
(906) 399-5971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.298820
IL
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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