Individual
AMY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-2600
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014243
OR
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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