BRIAN JOHN LARSEN

SANDY, UT
NPI1114140779
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  2323145-1701)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
Dr. BRIAN JOHN LARSEN pharmd
10130 S STATE ST
SANDY, UT 84070-4118
Phone number: 801-255-3101
Mailing Address
Dr. BRIAN JOHN LARSEN pharmd
14266 STONE FLY DR
BLUFFDALE, UT 84065-5605
Phone number: 801-253-9725
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