Individual
MS. KELLI J LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1601 STATE AVE NW, OWATONNA, MN 55060-5689
(507) 455-9684
(507) 455-1750
Mailing address
1170 ESTHER LN, OWATONNA, MN 55060-4521
(507) 330-3033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117666-1
MN
Other
Enumeration date
02/09/2007
Last updated
04/04/2020
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