Individual
DR. BRIAN JOHN LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10130 S STATE ST, SANDY, UT 84070-4118
(801) 255-3101
Mailing address
14266 STONE FLY DR, BLUFFDALE, UT 84065-5605
(801) 253-9725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2323145-1701
UT
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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