Matt Larson

NPI #1922383488 in Cambridge, Minnesota

Provider Information

NPI Number
1922383488
Entity Type
Individual
Name
Matt Larson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Oct 17, 2011
Last Updated
Oct 17, 2011

Practice Location

Address
115 GARFIELD ST N
ZIP Code
55008-1765
Phone
(763) 552-3103

Specialties & Taxonomy Codes

Specialty
Pharmacist

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