Individual
WARREN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3041 N MAIN ST, LAS CRUCES, NM 88001-1164
(575) 647-8878
Mailing address
3041 N MAIN ST, LAS CRUCES, NM 88001-1164
(575) 647-8878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005083
NM
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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