Individual
DR. CRAIG DAVID LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, PHARMD
Contact information
Practice address
404 W FOUNTAIN, ALBETA LEA, MN 55060-4302
(507) 301-3000
(507) 451-5134
Mailing address
1929 S CEDAR AVE, STERLING DRUG, OWATONNA, MN 55060-4302
(507) 451-0240
(507) 451-5134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117665-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060858100
—
MN
Enumeration date
02/07/2007
Last updated
02/12/2021
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