Dirk Larson, RPH

NPI #1639788144 in Barron, Wisconsin

Provider Information

NPI Number: 1639788144
Entity Type: Individual
Name: Dirk Larson, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 30, 2020
Last Updated: Jul 30, 2020

Practice Location

Address: 35 CITYVIEW DR
City: Barron
State: Wisconsin
ZIP Code: 54812-1438
Phone: (715) 222-3070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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