Individual
DR. COLTON LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
701 E REED AVE, MANITOWOC, WI 54220-2129
(920) 682-3726
Mailing address
701 E REED AVE, MANITOWOC, WI 54220-2129
(920) 682-3726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19902-40
WI
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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