Individual
SANDY PAUL LARKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7110 NE FERRIS RD, 7110 NE FERRIS RD, LA CENTER, WA 98629-3419
(360) 635-1461
Mailing address
PO BOX 57, 7110 NE FERRIS RD, LA CENTER, WA 98629-0057
(360) 635-1461
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PH 00015020
WA
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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