Individual
TOM ALAN LARSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
308 HARVARD ST SE, 7-159 WDH, MINNEAPOLIS, MN 55455-0353
(612) 626-5025
Mailing address
16800 DUCK LAKE TRL, EDEN PRAIRIE, MN 55346-3647
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
113168-0
MN
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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