Individual
MRS. ALISSA NICHOLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2612 S BROADWAY ST, ALEXANDRIA, MN 56308-3415
(320) 759-1135
(320) 759-1442
Mailing address
2612 S BROADWAY ST, ALEXANDRIA, MN 56308-3415
(320) 759-1135
(320) 759-1442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH5306
ND
Other
Enumeration date
05/17/2018
Last updated
12/05/2020
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