Individual
DR. DANIELLE N LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2999
(319) 352-4858
Mailing address
221 36TH ST, WEST DES MOINES, IA 50265-3975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23076
IA
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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