Individual
DR. NICOLE K LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3 S PARK CIR RM DF102, CHARLESTON, SC 29407-4606
(843) 985-3436
Mailing address
1845 BERMUDA STONE RD, CHARLESTON, SC 29414-8150
(843) 364-1805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12961
SC
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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