David Vernon Larson, PHARMACIST

NPI #1003280082 in San Tan Valley, Arizona

Provider Information

NPI Number: 1003280082
Entity Type: Individual
Name: David Vernon Larson, PHARMACIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Nov 13, 2015
Last Updated: Nov 13, 2015

Practice Location

Address: 31236 N TRAIL DUST DR
City: San Tan Valley
State: Arizona
ZIP Code: 85143-4139
Phone: (480) 459-1739

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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