Individual
KAMMY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 JEFFERSON ST N, WADENA, MN 56482-1372
(218) 631-4050
(218) 631-2726
Mailing address
321 JEFFERSON ST N, WADENA, MN 56482-1372
(218) 631-4050
(218) 631-2726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122407
MN
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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