MR. Richard Mark Larson
NPI #1215059258 in St Ignatius, Montana
Provider Information
- NPI Number
- 1215059258
- Entity Type
- Individual
- Name
- MR. Richard Mark Larson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 308 MISSION DR
- City
- St Ignatius
- State
- Montana
- ZIP Code
- 59065
- Phone
- (406) 745-3525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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