Individual
CLAYTON BRYCE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 CITRUS BLVD, LEESBURG, FL 34748-3005
(352) 326-0735
Mailing address
2010 CITRUS BLVD, LEESBURG, FL 34748-3005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS60013
FL
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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