Individual
LARISA TARASOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6336 LEETSDALE DR, DENVER, CO 80224-1261
(303) 333-2232
Mailing address
6336 LEETSDALE DR, DENVER, CO 80224-1261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019842
CO
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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