Individual
KENNETH DUANE LARSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
603 S CHESTNUT ST, ELLENSBURG, WA 98926-3875
(509) 962-7329
(509) 962-7421
Mailing address
5671 MOUNTAIN LN, PESHASTIN, WA 98847-9765
(509) 548-4903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010753
WA
Other
Enumeration date
11/21/2005
Last updated
03/07/2023
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