Individual
DR. MOLLY LARSON-WAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9400
Mailing address
5901 LEUPP RD, FLAGSTAFF, AZ 86004-8531
(707) 834-5254
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
S023430
AZ
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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