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Individual

DR. TRENT LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-3292
Mailing address
8856 E QUAIL COVE LN, GOLD CANYON, AZ 85118-3009
(480) 235-3618

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
11275
AZ

Other

Enumeration date
03/09/2018
Last updated
03/09/2018
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