Individual
MRS. ANDREA N LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 261-4509
Mailing address
100 4TH ST S, FARGO, ND 58103-1929
(701) 261-4509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5097
ND
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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