Individual
DIRK LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
35 CITYVIEW DR, BARRON, WI 54812-1438
(715) 222-3070
Mailing address
35 CITYVIEW DR, BARRON, WI 54812-1438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9573-40
WI
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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