Nicole Larson Valid NPI
Individual provider · Pharmacist · Rogers, MN
- NPI
- 1215550868
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 120545 (MN)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-05-18
- Last updated
- 2020-05-18
Practice location
21455 John Milless Dr
Rogers, MN 55374-9431
(763) 428-2629