Individual
DR. CHARLES KEITH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
800 N ZARAGOZA RD, EL PASO, TX 79907-2519
(915) 860-1670
(915) 860-0224
Mailing address
800 N ZARAGOZA RD, EL PASO, TX 79907-2519
(915) 860-1670
(915) 860-0224
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46418
TX
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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