Individual
MR. AUGUST WILLIAM LARSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.,P.D.
Contact information
Practice address
180 LAMP POST LN, ARNOLD, MO 63010-6209
(636) 296-4606
Mailing address
180 LAMP POST LN, ARNOLD, MO 63010-6209
(636) 296-4606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029403
MO
Other
Enumeration date
03/17/2007
Last updated
04/12/2012
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