Individual
KERRI LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
147 2ND ST NW, ORTONVILLE, MN 56278-1408
(320) 839-6102
(320) 839-3985
Mailing address
147 2ND ST NW, ORTONVILLE, MN 56278-1408
(320) 839-6102
(320) 839-3985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123308
MN
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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