Individual
TODD LARIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
201 PONY EXPRESS LN, OGALLALA, NE 69153-3101
(308) 284-0118
Mailing address
201 PONY EXPRESS LN, OGALLALA, NE 69153-3101
(308) 284-0118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10416
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H12062925
DRIVERS LICENSE
NE
Enumeration date
12/03/2017
Last updated
12/03/2017
About Stedi
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