Individual
JAKOB LARZ SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 COOPER POINT RD NW STE 103, OLYMPIA, WA 98502-4436
(360) 754-8014
Mailing address
617 WOODDUCK DR SW, OLYMPIA, WA 98502-2672
(801) 833-8090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61179182
WA
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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