Brielle M Larsen

NPI #1245843663 in Canon City, Colorado

Provider Information

NPI Number: 1245843663
Entity Type: Individual
Name: Brielle M Larsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 25, 2020
Last Updated: Aug 25, 2020

Practice Location

Address: 1609 FREMONT DR
City: Canon City
State: Colorado
ZIP Code: 81212-2403
Phone: (719) 275-1267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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