Individual
AMBER LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3111 GUNDERSEN DR, ONALASKA, WI 54650-8447
(608) 775-8699
(608) 775-8695
Mailing address
3111 GUNDERSEN DR, ONALASKA, WI 54650-8447
(608) 775-8699
(608) 775-8695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19575-40
WI
Other
Enumeration date
09/18/2020
Last updated
06/15/2021
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