Larsen Service Drug INC
Pharmacy, Community/Retail Pharmacy in Watford City, ND. Organization (NPI-2).
NPI number1568408581
StatusActive
Last updated in NPPESFeb 23, 2016
Details
- NPI
- 1568408581
- Entity type
- Organization (NPI-2)
- Legal business name
- Larsen Service Drug INC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2006
- Last updated
- Feb 23, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHAR163 | ND | Yes |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Larsen Service Drug INC (Doing Business As)
Practice location
244 N Main StWatford City, ND 58854-7122
Phone 701-444-2410 · Fax 701-444-2921
Mailing address
Po Box 550Watford City, ND 58854-0550
Phone 701-444-2410 · Fax 701-444-2921
Authorized official
Larry Larsen
President And Owner
7014442410
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Other Community/Retail Pharmacy providers in Watford City, ND
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