Individual
MR. LARRY C. LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
244 NORTH MAIN STREET, WATFORD CITY, ND 58854-0550
(701) 444-2410
(701) 444-2921
Mailing address
244 NORTH MAIN STREET, PO BOX 550, WATFORD CITY, ND 58854-0550
(701) 444-2410
(701) 444-2921
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4086
ND
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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