Individual
MR. LARRY A. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
400 N RUBY ST, ELLENSBURG, WA 98926-3152
(509) 962-5096
(509) 925-6044
Mailing address
400 N RUBY ST, ELLENSBURG, WA 98926-3152
(509) 962-5096
(509) 925-6044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00014461
WA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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