MICHAEL LARSON

MONTGOMERY, IL
NPI1235730292
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051026221)
Enumeration Date2020-11-05
Last Update Date2020-11-05
Business Address
MICHAEL LARSON
2000 ORCHARD RD
MONTGOMERY, IL 60538-1028
Phone number: 630-844-3509
Mailing Address
MICHAEL LARSON
2000 ORCHARD RD
MONTGOMERY, IL 60538-1028
Phone number: 630-844-3509