Brad Larson

NPI #1699173575 in Oak Creek, Wisconsin

Provider Information

NPI Number
1699173575
Entity Type
Individual
Name
Brad Larson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Dec 9, 2014
Last Updated
Dec 9, 2014

Practice Location

Address
8770 S HOWELL AVE
ZIP Code
53154-7524
Phone
(414) 762-6770

Specialties & Taxonomy Codes

Specialty
Pharmacist

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