Individual
DR. KEVIN ROBERT LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
120 BROADWAY, DENVER, CO 80203-3917
(303) 722-0771
Mailing address
300 S FEDERAL BLVD, DENVER, CO 80219-2936
(303) 586-8417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0019597
CO
Other
Enumeration date
05/28/2013
Last updated
08/19/2019
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