Individual
SAMUEL LARUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
16750 COUNTY ROAD 30, MAPLE GROVE, MN 55311-4523
(763) 416-1863
Mailing address
15 86TH ST NW, RICE, MN 56367-4504
(320) 333-4273
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126320
MN
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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