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Mark Larson, RPh

Pharmacist in Minnetonka, MN. Individual provider (NPI-1).

NPI number1821310285
StatusActive
Last updated in NPPESFeb 25, 2010

Details

NPI
1821310285
Entity type
Individual (NPI-1)
Name
Mark Larson
Credential
RPh
Sex
Male
Sole proprietor
No
Enumeration date
Feb 25, 2010
Last updated
Feb 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist113728MNYes

Practice location

10 Westwood Cir
Minnetonka, MN 55305-1588

Phone 952-525-7828

Mailing address

10 Westwood Cir
Minnetonka, MN 55305-1588

Phone 952-525-7828

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