Individual
MARY OGIELA LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
610 15TH ST S, WISCONSIN RAPIDS, WI 54494-4919
(715) 421-5869
Mailing address
PO BOX 594, WISCONSIN RAPIDS, WI 54495-0594
(715) 421-5869
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
183500000X
Pharmacist
Primary
14015-40
WI
183500000X
Pharmacist
RP00004262
NM
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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