DR. Brian John Larsen, PHARMD

NPI #1114140779 in Sandy, Utah

Provider Information

NPI Number: 1114140779
Entity Type: Individual
Name: DR. Brian John Larsen, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Apr 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10130 S STATE ST
City: Sandy
State: Utah
ZIP Code: 84070-4118
Phone: (801) 255-3101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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