Individual
KELSEY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
909 FULTON ST SE, ATTN: 1ST FLOOR PHARMACY 1.273, MINNEAPOLIS, MN 55455-4800
(612) 676-4628
Mailing address
1409 SARGENT AVE, SAINT PAUL, MN 55105-2330
(763) 218-2243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121903
MN
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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