Individual
DR. KELLY JO LARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1520 6TH STREET S.W., CEDAR RAPIDS, IA 52404
(319) 363-0219
(319) 363-8317
Mailing address
655 37TH STREET N.E., CEDAR RAPIDS, IA 52402
(319) 310-3800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20302
IA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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