Individual
BAYLI LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
116 N CAROLINA AVE SE APT 401, WASHINGTON, DC 20003-1853
(303) 726-6766
Mailing address
116 N CAROLINA AVE SE APT 401, WASHINGTON, DC 20003-1853
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
0022300
CO
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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