Individual
DR. BRYAN S. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS, RPH
Contact information
Practice address
30 S 2000 E, SALT LAKE CITY, UT 84112-5820
(801) 587-7917
(801) 581-7442
Mailing address
4936 W 8090 S, WEST JORDAN, UT 84081-1799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
368800-1701
UT
Other
Enumeration date
09/21/2006
Last updated
06/07/2013
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