| NPI | 1396834073 |
|---|---|
| Doing Business As | LARSON'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ED BOTROS PIC 909-825-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY47035) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-02-16 |